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Case Reports
. 2016 Sep-Dec;4(3):225-228.
doi: 10.4103/1658-631X.188261. Epub 2016 Aug 11.

Pancreatic Rest - An Unusual Cause of Dyspepsia: A Case Report with Literature Review

Ibrahim Masoodi  1 , Abed Al-Lehibi  2 , Khalid Almohaimeed  3 , Shabnum Hussain  4
Affiliations
Case Reports

Pancreatic Rest - An Unusual Cause of Dyspepsia: A Case Report with Literature Review

Ibrahim Masoodi et al. Saudi J Med Med Sci. 2016 Sep-Dec.

Abstract
in English, Arabic

Ectopic pancreatic tissue, also known as a pancreatic rest, is an uncommon congenital anomaly defined as extrapancreatic tissue located far from the pancreas and without any connection via vascular or anatomical means. The pancreatic rests are usually asymptomatic, but a variety of clinical symptoms have been described in the literature. This report describes the clinical scenario of severe dyspeptic symptoms of eight weeks duration in a young female. She underwent upper gastroscopic examination, which revealed a nodular lesion in the antral portion of the stomach. After partial gastrectomy and proton pump inhibitors of 1-month duration her symptoms improved. The histological specimen revealed the presence of pancreatic rest and no evidence of malignancy was noted. The patient is symptom-free and has been followed up in our clinic for the last 18 months.

ملخص البحث: يعتبر نسيج البنكرياس الموجود خارجه من الحالات الخلقية الشائعة وعادة ما تكتشف هذه الحالات دون وجود أعراض واضحة. في هذا التقرير يعرض الباحثون حالة مريضة في العقد الثالث من العمر تعاني من أعراض عسر الهضم الشديد لما يقارب من ثمانية أسابيع. أخضعت المريضة لفحص تنظير المعدة العلوي وآخر بالأشعة الصوتية، وتبين وجود عقدة في جيب المعدة. أجريت للمريضة عملية استئصال جيب المعدة وبين الفحص النسيجي وجود نسيج بنكرياسي خال من أي أورام حميدة أو خبيثة، بعد ذلك وصف للمريضة مضادا للحموضة وتحسنت حالتها تماما.ً.

Keywords: Dyspepsia; pain abdomen; pancreatic rest.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Endoscopic picture showing bulge near pylorus
Figure 2
Figure 2
Computerized tomography scan abdomen showing normal pancreas.
Figure 3
Figure 3
Histology showing pancreatic rest.
See this image and copyright information in PMC

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