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Review
. 2008 Nov 21;14(43):6757-9.
doi: 10.3748/wjg.14.6757.

Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review

Li-Xin Jiang  1 , Jie Xu, Xue-Wen Wang, Fu-Run Zhou, Wei Gao, Guo-Hua Yu, Zhong-Chuan Lv, Hai-Tao Zheng
Affiliations
Review

Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review

Li-Xin Jiang et al. World J Gastroenterol. .

Abstract

A 46-year-old Chinese woman presented with nausea, recurrent vomiting, and abdominal pain. Gastroduodenal endoscopic examination revealed an oval-shaped submucosal tumor at the prepyloric area on the posterior wall of the stomach. A degenerated gastrointestinal stromal tumor was suspected. Distal gastrectomy was performed and a histological diagnosis of heterotopic pancreas (HPs) was confirmed. The patient had an uneventful postoperative course and was discharged 7 d after operation. The patient remains healthy and symptom-free in the follow-up of 6 mo. This is a report of a case of gastric outlet obstruction resulting from pancreatic heterotopia in the gastric antrum in an adult woman.

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Figures

Figure 1
Figure 1
Submucosal lesion in the prepyloric posterior gastric wall.
Figure 2
Figure 2
CT scan shows thickness of posterior gastric wall, measuring 1 cm × 1.5 cm in the lower body of the stomach.
Figure 3
Figure 3
EUS reveals a lesion of 1.5 cm in diameter, with low and high complex echo-genicity, located within either the third or the fourth echo-layers.
Figure 4
Figure 4
Heterotopic pancreatic tissue with fully developed acini and ducts. Islet is not found.
See this image and copyright information in PMC

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