Heterotopic pancreas causing duodenal obstruction in a patient previously treated for choledochal cyst

Deshpande, Vidyanand; Raghunath, B. V.; Sarin, Yogesh Kumar; Sinha, Shalini

doi:10.4103/0971-9261.91088

Cited by 7 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The etiology of ectopic pancreas is not clear but several theories have been proposed to explain it. Most accepted theory is that, during embryonic rotation of foregut in a fetus and fusion of dorsal and ventral parts of pancreas, small islands of pancreatic rests are carried away and then they continue to develop at this abnormal new location [11,12]. Heterotopic pancreas is usually an isolated lesion; however multifocal lesions can also be seen.…”

Section: Discussionmentioning

confidence: 99%

Ectopic (heterotopic) pancreas in the mesentery of the jejunum: Imaging findings

Uslu¹

2013

CRCM

View full text Add to dashboard Cite

Ectopic pancreatic tissue in the mesentery of the jejunum is an entity that is seen very rarely. Most patients are asymptomatic and usually this is an incidental finding at autopsy or laparotomy. Most of the cases are clinically silent, but symptoms either might be due to the localization of the ectopic tissue or due to the complications including obstruction or bleeding. Surgery is not indicated unless complications occur, so diagnosis is very important for prevention of unnecessary surgery. Here, we present a case that had ectopic pancreatic tissue in the mesentery of the jejunum. We show the computed tomography and magnetic resonance imaging findings of this patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Ectopic (heterotopic) pancreas in the mesentery of the jejunum: Imaging findings

Uslu¹

2013

CRCM

View full text Add to dashboard Cite

show abstract

“…The presence of pancreatic tissue outside its normal localization and without anatomic and vascular continuity with the normal pancreas is termed pancreatic heterotopia (PH) [8]. The incidence reported is 1-2% as per autopsy studies.…”

Section: Discussionmentioning

confidence: 99%

“…However, occasionally they can attain larger sizes and cause symptoms of obstruction [5,6]. PH is a rare condition which is generally asymptomatic, but may present as a cause of GOO [8,9]. We present an unusual case where all the three rare entities caused pyloric obstruction in unison.…”

Section: Introductionmentioning

confidence: 96%

Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison

Sharma¹

2017

View full text Add to dashboard Cite

Abstract:Gastric outlet obstruction is a common entity described with numerous benign and malignant causes. Historically, benign causes include Peptic Ulcer disease (PUD); however recent cases have reported other causes including Eosinophilic Gastroenteritis (EGE), Brunner's Gland Hyperplasia (BGH) and Pancreatic Heterotopia (PH). We present an unusual case of a 31 year old male patient with severe gastric outlet obstruction requiring surgical intervention caused by all three pathologies in unison -EGE, BGH and PH. The patient underwent surgical resection with distal gastrectomy and Billroth II reconstruction. Histology confirmed the three pathologies and post-operative recovery of the patient was uneventful.

show abstract

“…Labiausiai priimtina – embriono priekinės žarnos sukimosi bei dorsalinės ir ventralinės kasos dalies susiliejimo metu mažos kasos salelės patenka į įvairias lokalizacijas ir pradeda vystytis į ektopinį kasos audinį atipinėje vietoje (16, 17). Tai galėtų paaiškinti, kodėl dauguma EK būna aplink kasą, daugiausiai virškinamajame trakte, skrandyje, dvylikapirštėje žarnoje, proksimalinėje tuščiosios žarnos dalyje (18).…”

Section: Diskusijaunclassified

Ektopinė (heterotopinė) kasa plonosios žarnos pasaite: klinikinio atvejo pristatymas ir literatūros apžvalga

Navickas¹,

Valančienė²

2016

AML

View full text Add to dashboard Cite

Ektopinė kasa (EK) – reta įgimta anomalija, kai normalus kasos audinys yra už kasos ribų. Heterotopinis kasos audinys plonosios žarnos pasaite yra ypač retai sutinkamas EK tipas. EK dažniausiai aptinkama įvairiose virškinamojo trakto dalyse atsitiktinai.Paprastai EK yra simptomų nesukelianti anomalija, tačiau kliniškai gali pasireikšti atsiradus komplikacijoms, tokioms kaip uždegimas, kraujavimas, obstrukcija ar supiktybėjus. Simptomų išsivystymas priklauso nuo EK dydžio, lokalizacijos bei patologinių audinio pokyčių, kurie taip pat būdingi ir normaliam kasos audiniui. Operacinis gydymas nėra indikuotinas, nebent esant komplikacijoms, todėl labai svarbi tiksli priešoperacinė diagnozė siekiant išvengti nereikalingų intervencijų.Mes pristatome retą klinikinį atvejį, kada EK lokalizavosi plonosios žarnos pasaite. Pateikiame paciento kompiuterinės tomografijos tyrimo vaizdus. Šis klinikinis atvejis parodo, kad ektopinis kasos audinys visada turėtų būti įtrauktas į gastrointestinių navikų diferencinę diagnostiką.

show abstract

Heterotopic pancreas causing duodenal obstruction in a patient previously treated for choledochal cyst

Cited by 7 publications

References 10 publications

Ectopic (heterotopic) pancreas in the mesentery of the jejunum: Imaging findings

Ectopic (heterotopic) pancreas in the mesentery of the jejunum: Imaging findings

Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison

Ektopinė (heterotopinė) kasa plonosios žarnos pasaite: klinikinio atvejo pristatymas ir literatūros apžvalga

Contact Info

Product

Resources

About