Gastric Outlet Obstruction Caused by Heterotopic Pancreatitis

Matissek, C.; Grundhuber, H.; Steinborn, M.; Hosie, Stuart

doi:10.1055/s-0031-1285921

Cited by 4 publications

(3 citation statements)

References 6 publications

(6 reference statements)

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“…A MEDLINE search of the English literature revealed 4 cases of acute pancreatitis occurring in GHP in the last 30 years, including our case 10 – 12 ( Table 2 ). Epigastric pain was reported in 3 cases.…”

Section: Discussionmentioning

confidence: 99%

A Case of Gastric Heterotopic Pancreatitis Resected by Laparoscopic Surgery

Matsumoto

Tanaka

Nagai

et al. 2015

International Surgery

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Heterotopic pancreas (HP) is a rare entity which is defined as the presence of pancreatic tissue lacking anatomical and vascular continuity with the pancreas. It is most commonly found along foregut derivatives, such as the stomach, duodenum, and jejunum. It is frequently encountered incidentally in asymptomatic patients, and symptomatic patients are rare and do not exhibit any specific symptoms. Accordingly, HP is difficult to diagnose before surgery. Here we report an unusual case of gastric heterotopic pancreatitis causing gastric outlet obstruction diagnosed preoperatively using endoscopic ultrasonography guided fine needle aspiration cytology. A 21-year-old woman was referred to our hospital because of abdominal pain, nausea, and vomiting. Gastroduodenal endoscopic examination revealed an oval-shaped submucosal tumor in the gastric body. Contrast-enhanced computed tomography (CT) revealed that the tumor had a cystic component and marked perigastric inflammation. Endoscopic ultrasonography (EUS) demonstrated a hypoechoic mass arising from the third to fourth layer of the gastric wall. Pancreatic exocrine glands were detected by EUS-guided fine needle aspiration biopsy. The lesion was diagnosed as gastric heterotopic pancreas with inflammation of the pancreatic tissue. Laparoscopic partial gastrectomy was performed, and the diagnosis was also histologically confirmed. The patient was discharged 5 days after the operation. She has remained healthy and symptom-free during 10 months of follow-up. We experienced a first case of gastric heterotopic pancreatitis which was correctly diagnosed preoperatively and resected by laparoscopic surgery. Partial resection of the heterotopic pancreatic tissue could lead to a good outcome.

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Section: Discussionmentioning

confidence: 99%

A Case of Gastric Heterotopic Pancreatitis Resected by Laparoscopic Surgery

Matsumoto

Tanaka

Nagai

et al. 2015

International Surgery

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“…Gastric outlet obstruction (GOO) in infants and children can either be congenital, resulting from the antral diaphragm, pyloric atresia, and infantile hypertrophic pyloric stenosis (IHPS), or acquired complicating peptic ulcer disease, caustic ingestion, tumors, chronic granulomatous disease, and eosinophilic gastroenteritis [3,4]. Among the above pathologies, IHPS is considered to be the commonest with an estimated incidence of up to 1.5-3 per 1000 live births and responds well to Ramstedt's pyloromyotomy.…”

Section: Introductionmentioning

confidence: 99%

The Confusing Tale of Foreign Body Gastric Outlet Obstruction

Osman

2023

Sudan JMS

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Background: Duplication cysts are rare congenital anomalies that can occur anywhere in the gastrointestinal tract from the mouth up to the anus. Acquired gastric outlet obstruction (GOO) during infancy beyond the neonatal period is a very rare condition and should be considered when other causes of GOO such as infantile hypertrophic pyloric stenosis, antral diaphragm, and pyloric atresia are excluded.Case Presentation: We report a one-year old female infant who presented with an acute onset of copious persistent vomiting that was initially diagnosed with a duplication cyst of the duodenum, but was found to have GOO after surgical exploration.Conclusion: Clinicians should be mindful of the common causes of GOO and have a high index of suspicion for acquired causes.

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“…Heterotopic pancreas is defined as the presence of pancreatic tissue outside its normal location in the pancreas and having neither anatomical nor vascular continuity with the pancreas [5] . It is also known as aberrant pancreas, pancreatic rest, or accessory pancreas [6] .…”

Section: Introductionmentioning

confidence: 99%

Gastric outlet obstruction secondary to heterotopic pancreas being mistaken for gastric cancer: “Case report”

Bejiga

2022

International Journal of Surgery Case Reports

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Gastric Outlet Obstruction Caused by Heterotopic Pancreatitis

Cited by 4 publications

References 6 publications

A Case of Gastric Heterotopic Pancreatitis Resected by Laparoscopic Surgery

A Case of Gastric Heterotopic Pancreatitis Resected by Laparoscopic Surgery

The Confusing Tale of Foreign Body Gastric Outlet Obstruction

Gastric outlet obstruction secondary to heterotopic pancreas being mistaken for gastric cancer: “Case report”

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