Virtual cystoscopy was performed in 13 patients with hematuria and abnormal findings at conventional cystoscopy. Perspective volume-rendering algorithms were applied to helical computed tomographic data to generate interactive, intraluminal views of the bladder mucosa after insufflation of room air. At conventional cystoscopy, 29 masses appeared to arise from the bladder mucosa and two were hypertrophied median lobes of the prostate. At virtual cystoscopy, 30 masses arose from the bladder (one prostate mass was misinterpreted as an intrinsic bladder mass). Results at virtual cystoscopy were comparable to those at conventional cystoscopy but were obtained without the associated risks.
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.
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