Heterotopic pancreas presentation as a fundal submucosal mass, a case report
Autor: | Fatemeh Samiee-Rad, Sohayla Farajee |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Abdominal pain medicine.diagnostic_test Exploratory laparotomy business.industry Esophagogastroduodenoscopy medicine.medical_treatment Stomach Submucosal Lesion 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Submucosa medicine 030211 gastroenterology & hepatology Surgery Radiology Differential diagnosis medicine.symptom business Abdominal surgery |
Zdroj: | European Surgery. 52:43-47 |
ISSN: | 1682-4016 1682-8631 |
DOI: | 10.1007/s10353-019-00618-y |
Popis: | Heterotopic pancreas is a rare submucosal lesion and generally an incidental finding. The important differential diagnosis is mesenchymal submucosal neoplasm. Here, we present a case with heterotopic pancreas presentation as a fundal submucosal mass. A 35-year-old male was admitted to our hospital due to a 9-month history of abdominal pain and fullness. Physical examinations and laboratory findings were normal. Esophagogastroduodenoscopy was performed. The patient underwent exploratory laparotomy and wedge resection of the stomach. The patient was symptom free 17 months later. Esophagogastroduodenoscopy revealed a fundal mass. Histopathological examination confirmed ectopic pancreatic tissue involving submucosa and muscularis propria. Our case report demonstrates a very rare cause of fundal submucosal mass with abdominal pain and fullness. The physicians at major gastrointestinal referral centers are much more likely to be familiar with heterotopic pancreas and its clinical manifestation. |
Databáze: | OpenAIRE |
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