Ectopic or heterotopic pancreas is defined as the presence of pancreatic tissue in an anatomical place not related to the pancreas, being it most frequent locations the stomach and small bowel. Its finding in the gallbladder is exceptional. Since the first case was reported by Otschkin in 1916, about 30 cases have been described in literature. We report the case of a 43 years-old male patient who had an urgent laparoscopic cholecystectomy with the diagnosis of acute cholecystitis, which pathological study showed the existence of chronic cholecystitis with heterotopic pancreatic tissue in the gallbladder wall.

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HighlightsLymph node metastases of pheocromocytoma as the only distant disease are rare.When present, radical surgery is the only option in order to get a R0 resection.Patients with pheocromocytoma at risk for metastatic disease or malignancy can be somehow identified.