Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 22 aprilie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

GASTRIC OUTLET OBSTRUCTION CAUSED BY CYSTIC HETEROTOPIC PANCREAS
E. Târcoveanu (1), A. Vasilescu (1), N. Vlad (1), Niculina Florea (2), C. Stanciu (3)
(1) „I. Tănăsescu – Vl. Buţureanu” First Surgical Clinic
(2) Pathology Departament, St. Spiridon University Hospital Iaşi
(3) Gastroenterology and Hepatology Center Iaşi, St Spiridon University Hospital
„Gr.T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (3): 424-430
Full text:
Format PDF (Română/Romanian)

Abstract:

Heterotopic (ectopic) pancreas is relatively rare and is defined as abnormally situated pancreatic tissue has no contact with the normal pancreas and has its own ductal system and blood supply. It is usually an incidental finding in clinical practice. It most often occurs in the proximal gastrointestinal tract – gastric heterotopic pancreas. It may become clinically evident when complicated by pathological changes such as pancreatitis, cystic dystrophy with obstruction as especially gastric outlet obstruction. In this report a 29 – year old man with nausea, recurrent vomiting an abdominal pain is described. Gastroduodenal endoscopic examination, upper GI barium X-ray, ultrasonography revealed a submucosal tumor at the prepyloric area on the posterior wall of the stomach with gastric outlet obstruction. A degenerated gastrointestinal stromal tumor was suspected. Limitated distal antrectomy was performed and a histological diagnosis of gastric heterotopic pancreas was confirmed. The patient had an uneventful postoperative course and was discharged 5 days after operation and remains healthy and symptom-free in the follow-up of 6 months. This is a report of a case of gastric outlet obstruction resulting for pancreatic heterotopia in the gastric antrum with cystic dystrophy after acute pancreatitis in an adult man. The incidence of symptomatic heterotopic pancreas is low and preoperative diagnosis is difficult. Although endoscopy ultrasound is helpful for diagnosis, it is difficult to distinguish from stromal tumor. Frozen section should be taken so as to distinguish heterotopic pancreas from malignant tumors. Surgical excision by minimally invasive approach provides symptomatic relief and is recommended.

KEY WORDS: GASTRIC HETEROTOPIC PANCREAS, CYSTIC HETEROTOPIC PANCREAS, GASTRIC OUTLET OBSTRUCTION, SUBMUCOSAL TUMOR, ANTRECTOMY

Correspondence to: Prof. Dr. Eugen Târcoveanu, „I. Tănăsescu – Vl. Buţureanu” First Surgical Clinic, St Spiridon University Hospital, Bd. Independenţei no. 1, Iaşi, 700111; e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.