Analysis of diagnosis and treatment of heterotopic pancreas

Abstract

A case of heterotopic pancreas in the Third Affiliated Hospital of Inner Mongolia Medical University was recorded and analyzed on the basis of diagnosis, physical examination and treatment. Misdiagnosis of gastrointestinal stromal tumor(GIST) is very common since it is a rare disease. So this paper aims to enhance the doctors' awareness of GIST during clinical practice.Key Words: Heterotopic pancreas, Diagnosis, Treatment 1 Medical record General informationA 35-year-old man was admitted to our hospital on November 22, 2011 due to middle and upper abdominal pain and melena of three months duration. He suffered from intermittent epigastric pain, especially after starvation, three months prior to his admission, accompanied by nausea, heartburn, acid reflux. He passed black stool, an average of one or two times per day about 50 ml. There were no signs of vomiting, fever, chills, cutaneous or sclera icterus. The patient had oral administration of omeprazole capsules (20 mg, once a day), sucralfate tablets (1 g, three times a day), colloidal bismuth pectin capsules (150 mg, three times a day), without any clinical effect. He was then referred to the gastroenterology clinic of our hospital for duodenal digestive endoscopic ultrasound examination, indicating the appearance of mass in the muscle layer of duodenum. He was low in spirit, poor appetite and with weight loss around 2.5 kg since the onset of the symptoms. His previous personal, family and vaccination history were noncontributory.

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