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E Chiriatti
X Papazarkadas
E Koliakos
P Kuckzma
E Pezzetta
O Martinet

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E Chiriatti
X Papazarkadas
E Koliakos
P Kuckzma
E Pezzetta
O Martinet

International Research Journal of Medicine and Biomedical Sciences
Vol.5 (1),pp. 13-16, January 2020
ISSN 2488-9032
Available online at https://www.journalissues.org/IRJMBS/
DOI:https://doi.org/10.15739/irjmbs.20.003
Author(s) retain the copyright of this article. Author(s) agree that this article remain permanently open access under the terms of the Creative Commons Attribution License 4.0 International License.



Case Study

Intramural ectopic pancreatic tissue of the stomach: An uncommon origin of a non-cancerous gastric tumour

Chiriatti E*1, Papazarkadas X2, Koliakos E3, Kuckzma P1 Pezzetta E1 and Martinet O1

1Department of General Surgery, Hospital Riviera – Chablais (HRC), Montreux, Switzerland.
2Department of General Surgery, Hospital of Valais (CHVR), Sion, Switzerland.
3Department of Thoracic Surgery, University Hospital of Vaud (CHUV), Lausanne, Switzerland.

*Corresponding Author: E-mail enricakir(at)hotmail.it

Tel. +41 767 37 34 01



date Received: December 6, 2019     date Accepted: January 7, 2020     date Published: January 14, 2020


 Abstract

Ectopic pancreatic tissue is often incidentally encounter during abdominal surgery. We report a case of an incidental finding during a laparoscopic appendectomy, the approach to diagnosis and management of this. A 32 year-old woman was diagnosed with an intramural pre-pyloric mass during a laparoscopic appendectomy. The mass was not visible on a subsequent computed tomography. Upper esophagho-gastro-duodenoscopy was normal. The intramural mass was confirmed by an endoscopic sonography and the fine needle biopsy showed a specific inflammatory cells. A laparoscopic wedge resection was realized. Histopathologic examination confirmed the diagnosis of an ectopic pancreatic tissue. Despite the plethora of diagnostic modalities available, a definitive diagnosis for heterotopic pancreas often remains elusive, requiring more invasive diagnostic means. Although ample information is available in literature, there are currently no evidence-based guidelines regarding diagnosis and management of heterotopic pancreas.


Key words: Heterotopic pancreas, aberrant pancreas, pancreatic heterotopia, abdominal surgery, appendectomy, pancreas, gastrointestinal surgery


Chiriatti et al