Heterotopia pancreática: análise clínico-patológica de 18 doentes

Bromberg, Sansom Henrique; Neto, Carlos Camilo; Borges, Antonio Fernando Allemand; Franco, Maria Isete Fares; França, Luís; Yamaguchi, Nagamassa

doi:10.1590/s0100-69912010000600007

Cited by 43 publications

(55 citation statements)

References 23 publications

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“…In most cases, the tissue is functional and is commonly found along the greater curvature of the stomach, duodenum, and jejunum [1,3,6] . Other reported sites include Meckel's diverticulum, esophagus, liver, lungs, mediastinum, fallopian tubes, gallbladder, and umbilicus [5,8,9] .…”

Section: Definitionmentioning

confidence: 99%

“…The incidence of heterotopic pancreas has been reported to be as high as 1 in 500 upper abdominal operations [5,10] . In adults, it occurs most often in males during the fourth to sixth decades of life [5] .…”

Section: Epidemiologymentioning

confidence: 99%

“…In adults, it occurs most often in males during the fourth to sixth decades of life [5] . Autopsy reveals the presence of incidental heterotopic pancreas ranging from 0.6% to 14% [1,[11][12][13] .…”

Section: Epidemiologymentioning

confidence: 99%

“…Most patients are asymptomatic, but symptoms can include nausea, vomiting, epigastric pain, dyspepsia, abdominal fullness, and melena [1,[5][6][7] . The most common symptom is epigastric pain [7] .…”

Section: Presentationmentioning

confidence: 99%

“…The most common symptom is epigastric pain [7] . About a third of symptomatic patients report clinical symptoms that mimic disease related to the organ in which the tissue resides [5] . More serious complications can ensue such as massive gastrointestinal bleeding, gastric outlet obstruction, gastric or duodenal ulceration, pancreatitis, and malignant degeneration [7,[15][16][17][18][19][20][21][22][23] .…”

Section: Presentationmentioning

confidence: 99%

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Ectopic pancreatic tissue on the lesser curvature of the stomach: case report and literature review

Tajouri¹,

Gent²,

Eck³

2013

Grand Rounds

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Ectopic pancreatic tissue is most often an incidental finding of imaging, surgery, or autopsy. Image-guided diagnosis is difficult, and definitive diagnosis usually relies on histological analysis. A case of ectopic pancreatic tissue located near the lesser curvature of the stomach is presented followed by a brief discussion of the clinical management of heterotopic pancreas. KeywordsHeterotopic pancreas; pancreatic rests. Case reportA 37-year-old woman presented to the emergency room (ER) with moderate, colicky abdominal pain located in the left lower quadrant. The patient had a history significant for missed menstrual periods (last menstrual period reported 8 months ago) and a surgical history remarkable for a right oophorectomy due to menstrual associated pain. The patient was otherwise healthy and was without any other systemic illnesses.On presentation the patient denied fever, diarrhea, constipation, black stools, hematochezia, hematemesis, dysuria, or abnormal vaginal bleeding. On physical examination, vital signs were within normal limits. The abdomen was soft, non-distended, but mildly tender in the left lower quadrant inferiorly. No rigidity, rebound, or guarding was present.Comprehensive metabolic profile, amylase, lipase, and urinalysis were all within normal limits. Her white blood cell count was increased to 21,300/ml with a left shift. Her pregnancy test was negative. A computed tomography (CT) scan of her abdomen and pelvis was ordered, which revealed a left periadnexal mass and a 2-cm exophytic mass adjacent to the lesser curvature of the stomach and to the lateral segment of the left lobe of the liver. Ultrasonography confirmed the left periadnexal mass to be cystic. Her pain was thought to be due to the ovarian cyst. The patient improved with pain management and intravenous fluids; she was then discharged home with pain medication and referred to general surgery for consultation on the upper abdominal mass.This paper is available online at http://www.grandrounds-e-med.com. In the event of a change in the URL address, please use the DOI provided to locate the paper.

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Section: Definitionmentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Presentationmentioning

confidence: 99%

Section: Presentationmentioning

confidence: 99%

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Ectopic pancreatic tissue on the lesser curvature of the stomach: case report and literature review

Tajouri¹,

Gent²,

Eck³

2013

Grand Rounds

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Polyps of the Small Intestine

Brown¹,

Wallace²

2021

Gastrointestinal Pathology

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Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature

Milla Salguero,

Medina,

Hause Murillo

et al. 2024

Clinical Case Reports

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Key Clinical MessagePerforation of Meckel's diverticulum (MD) is rare, particularly by foreign body. High index of suspicion and thorough intraoperative assessment is needed in patients undergoing surgery for acute appendicitis, specifically when appendix appears normal.AbstractMeckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. While often asymptomatic, it can present with several complications. Perforation due to foreign body ingestion is rare but can have severe consequences if late diagnosis occurs. A 13‐year‐old male, initially suspected of acute appendicitis, was eventually diagnosed with perforation of MD by a wood splinter‐like foreign body after intraoperative assessment. Histological analysis revealed ectopic colonic tissue within the MD, a finding whose implications are not well understood, in contrast with the well‐established complications associated with ectopic gastric and pancreatic tissues. This case highlights the diagnostic challenges of MD, which can mimic acute appendicitis, emphasizing the need for high suspicion when faced with atypical clinical presentation such as foreign body‐induced perforation. Although surgical resection of asymptomatic MD remains controversial, we recommend a case‐specific approach based on risk factors to guide decision‐making on surgical resection for asymptomatic MD.

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Heterotopia pancreática: análise clínico-patológica de 18 doentes

Abstract: Pancreatic heterotopia is rare. Patients with pancreatic ectopia diagnosed by pathological study, whether asymptomatic or with mild symptoms, should be observed. Lesions incidentally detected during surgeries need to be removed by conservative procedures.

Cited by 43 publications

References 23 publications

Ectopic pancreatic tissue on the lesser curvature of the stomach: case report and literature review

Ectopic pancreatic tissue on the lesser curvature of the stomach: case report and literature review

Polyps of the Small Intestine

Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature

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