Heterotopic pancreatitis: gastric outlet obstruction due to an intramural pseudocyst and hamartoma.
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Heterotopic pancreatitis: gastric outlet obstruction due to an intramural pseudocyst and hamartoma. / Eisenberger, C F; Kropp, A; Langwieler, T E; Gocht, Andreas; Izbicki, J R; Knoefel, W T.
in: Z GASTROENTEROL, Jahrgang 40, Nr. 4, 4, 2002, S. 259-262.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Heterotopic pancreatitis: gastric outlet obstruction due to an intramural pseudocyst and hamartoma.
AU - Eisenberger, C F
AU - Kropp, A
AU - Langwieler, T E
AU - Gocht, Andreas
AU - Izbicki, J R
AU - Knoefel, W T
PY - 2002
Y1 - 2002
N2 - Heterotopic pancreas, usually a silent gastrointestinal malformation, may become clinically evident when complicated by chronic inflammation. We report a case of pancreatitis and extensive pseudocyst formation in the gastric antrum, which caused gastric outlet obstruction. The diagnosis was obscured by a history of emesis during pregnancy and a previously resected gastric polyp. The nature of the obstructive lesion was not diagnosed preoperatively in spite of endosonographic evaluation. Intraoperatively, a cystic tumor of the stomach wall was found, the lesion was excised, and a pyloroplasty was performed to close the excision site. Histology revealed heterotopic pancreatic tissue with chronic inflammation, fibrosis and pseudocyst formation and adjacent to this lesion a myoglandular hamartoma. The patient is symptom-free two years after surgery and no recurrence was found. The nature of heterotopic pancreatic tissue, its diagnosis and management are discussed.
AB - Heterotopic pancreas, usually a silent gastrointestinal malformation, may become clinically evident when complicated by chronic inflammation. We report a case of pancreatitis and extensive pseudocyst formation in the gastric antrum, which caused gastric outlet obstruction. The diagnosis was obscured by a history of emesis during pregnancy and a previously resected gastric polyp. The nature of the obstructive lesion was not diagnosed preoperatively in spite of endosonographic evaluation. Intraoperatively, a cystic tumor of the stomach wall was found, the lesion was excised, and a pyloroplasty was performed to close the excision site. Histology revealed heterotopic pancreatic tissue with chronic inflammation, fibrosis and pseudocyst formation and adjacent to this lesion a myoglandular hamartoma. The patient is symptom-free two years after surgery and no recurrence was found. The nature of heterotopic pancreatic tissue, its diagnosis and management are discussed.
M3 - SCORING: Zeitschriftenaufsatz
VL - 40
SP - 259
EP - 262
JO - Z GASTROENTEROL
JF - Z GASTROENTEROL
SN - 0044-2771
IS - 4
M1 - 4
ER -
