Ectopic pancreas in the minor duodenal papilla presenting as upper-GI bleeding

Tanemura, Akihiro; Yano, Takashi; Tamaki, Hisao; Sanda, Takayuki; Ohashi, Naoki; Ishihara, Akinori; Fukutome, Kazuo; Shiraki, Katsuya

doi:10.1016/s0016-5107(05)01571-3

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…[3] The duodenum is the most common site of heterotopic pancreas, especially the periampullary region. [4,5] The statistical analysis of the results by Chen Wuxing, [6] based on domestic related literature, generally consistent with the foreign reports, demonstrating that almost half of the cases of heterotopic pancreas were in stomach and duodenum.…”

Section: Diagnosis and Treatmentsupporting

confidence: 70%

Analysis of diagnosis and treatment of heterotopic pancreas

Shi-peng¹,

Li²,

Zhang³

et al. 2015

DCC

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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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Section: Diagnosis and Treatmentsupporting

confidence: 70%

Analysis of diagnosis and treatment of heterotopic pancreas

Shi-peng¹,

Li²,

Zhang³

et al. 2015

DCC

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“…The location at the papilla may be asymptomatic, and it can be revealed through bleeding (5) or, as in our case, with jaundice and simulating an ampullary tumor [3].…”

Section: Commentsmentioning

confidence: 74%

“…The endoscopy and the eco-endoscopy will help to detect the presence of a lesion at papilla level, but as these lesions are usually covered by normal mucosa or sometimes, as in our case, with an erosion, the biopsy sample usually provides negative results because it does not reach the depth. This difficulty is evidenced by the number of indications of duodenopancreatectomies or resection of the ampulla of Vater [4,5]. In our particular case, the duodenotomy revealed an enlarged papilla, congestive, covered with eroded mucosa, the suspicion of a papilla tumor vs. an impacted gallstone made us perform a broad papillo-sphincterotomy with biopsy that surprised us with the diagnosis of heterotopic pancreas.…”

Section: Commentsmentioning

confidence: 79%

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Ectopic pancreas in the major duodenal papilla mimicking ampulloma

Nari¹,

Mariot²,

Lucero³

et al. 2019

2516-7138

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The ectopic pancreas is relatively strange. Most of the times it settles in the stomach, the duodenum or the jejunum, being less usual to find it elsewhere. The appearance of the heterotopic pancreas is uncommon and until 2005 only 12 cases had been described. We present a patient with ectopic pancreas in the ampulla of Vater mimicking an ampoule tumor provoking jaundice. It was solved with a papillo-sphincterotomy and a biopsy.

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Reserpine Caused Gastrointestinal Damages and Hormonal Changes in Rats

Cheng

Wang

et al. 2012

Advances in Intelligent and Soft Computing

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Ectopic pancreas in the minor duodenal papilla presenting as upper-GI bleeding

Cited by 9 publications

References 4 publications

Analysis of diagnosis and treatment of heterotopic pancreas

Analysis of diagnosis and treatment of heterotopic pancreas

Ectopic pancreas in the major duodenal papilla mimicking ampulloma

Reserpine Caused Gastrointestinal Damages and Hormonal Changes in Rats

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