A Case of Heterotopic Pancreas on the Fundus of Stomach by Gastrofiberscopy.
- Author:
Chan Wook PARK
1
;
An Na KIM
;
Jae Cheol YOON
;
Gyeoi Seong LEE
;
Hyun Taek AN
;
Gee Soo GOO
Author Information
1. Department of Internal Medicine, Sun Hospital, Taejon, Korea.
- Publication Type:Case Report
- Keywords:
Heterotopic pancreas;
Fundus
- MeSH:
Autopsy;
Duodenum;
Endosonography;
Jejunum;
Leiomyoma;
Mucous Membrane;
Pancreas*;
Pylorus;
Stomach*
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(4):625-628
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Heterotopic pancreas is defined as the presence of pancreatic tissue lacking anatomical and vascular continuity with the main body of pancreas. Heterotopic pancreas or ectopic pancreas is found in 0.55% to 13.7% of autopsy series and also found one in approximately every 500 operations in abdominal surgery. The most common sites are the antrum of stomach, duodenum, and proximal jejunum. Most masses of heterotopic pancreas in stomach were encountered in the distal one third, usually within 5 or 6 cm of pylorus. We have recently experienced a case of hetertopic pancreas that was located in fundus which is not the usual site. Gastrofiberscopy revealed a 2 2.5 cm sized protruding mass on the fundus. There was apperared an umbilical shaped dimple on the center with a relatively normal mucosa. Endoscopic ultrasonography revealed a 2.5 cm sized hypoechoic mass of fundus, originating from submucosal and muscular layer. It was considered a submucosal tumor, such as leiomyoma, and subsequently wedge resection was performed. Histologic finding showed pancreatic acni.
