Ectopic Pancreas Tissue In The Stomach: Report Of A Case

Abstract

We report a case of a 55 year old woman that has epigastric pain and was admitted to our clinic in order to investigate submucosal gastric solid mass that has appeared in upper gastrointestinal system (GIS) endoscopic examination. Her surgical pathology is reported as ectopic pancreatic tissue on stomach. The differentiation of ectopic pancreas from other submucosal tumors is difficult. Frozen section is very helpful to establish the diagnosis during surgery in order to avoid unnecessary extensive operations.

Keywords

• ectopic pancreas, gastric heterotopia, stomach.

Mide Dokusunda Ektopik Pankreas: Olgu Bildirimi

Öz

Özet: 

55 yaşında epigastrik ağrısı olan bayan hastanın üst gastrointestinal sistem endoskopisinde submukozal gastrik solid kitle saptanması üzerine araştırılmak üzere servisimize yatışı yapıldı. Patoloji sonucu midedeki ektopik pankreas dokusu ile uyumlu geldi. Ektopik pankreasın diğer submukozal tümörlerle ayrımı zordur. Cerrahi sırasında frozen inceleme gereksiz ve aşırı operasyonlardan kaçınmak için yararlı bir tetkiktir. 

Anahtar Kelimeler

• ektopik pankreas,gastrik heterotopi,mide

Kaynakça

1. Gurocak B, Gokturk HS, Kayacetin S, Bakdik S. A rare case of heterotopic pancreas in the stomach which caused closed perforation. Neth J Med. 2009 Jul-Aug;67(7):285-7.
2. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 15th ed. In: Sabiston DC, editor. Philadelphia: WB Saunders Company, 1997: 872-873.
3. Pang LC, Pancreatic Heterotopia: A Reappraisal and clinicopathologic analyses of 32 cases. Southern Medical Journal October 1988; 10: 1264-1275.
4. Arkuszewski P, Hołyński J, Mussur M, Smigielski J, Strzelczyk J. A symptomatic ectopic pancreas in the stomach - a case report. Pol Merkur Lekarski.2009 May; (26(155):493-5.
5. Christodoulidis G, Zacharoulis D, Barbanis S, Katsogridakis E, Hatzitheofilou K. Heterotopic pancreas in the stomach. A case report and literature review. World Journal of Gastroenterology 2007 December 7;13 (45):6098-6100.
6. Mulholland KC, Wallace WD, Epanomeritakis E, Hall SR. Pseudocyst formation in gastric ectopic pancreas. JOP. 2004 Nov 10;5(6):498-501.
7. Chen SH,Huang WH,Feng CL,Chou JW,Hsu CH,Peng CY,Yang MD.Clinical analyses of ectopic pancreas with endoscopic ultrasonography: an experience in a medical center. J Gastrointest Surg. 2008 May;12(5):877-81. Epub 2008 Feb 2. Correspondance to: Ali Cihat YILDIRIM M.D. Turkish Ministry of Health, Ankara Diskapi Yildirim Beyazit Training and Research Hospital Phone: [phone] Fax: [phone] e-mail: [e-mail]