Pancreatic Choristoma within a duodenal diverticulum, an accidental finding: apropos of a case
DOI:
https://doi.org/10.51481/amc.v63i3.1162Keywords:
Choristoma, heterotopic pancreas, duodenal diverticulum, gastrointestinal tract, abdominal painAbstract
Pancreatic choristoma, also called heterotopic pancreas is a rare condition in gastroenterology. This entity consists of the presence of aberrant pancreatic tissue in some other area of the gastrointestinal tract without vascular or anatomical continuity with the normal pancreas; it has been seldomly reported and it could exhibit variable symptomathology.
We herein report the case of a 46-year-old male, who presented with abdominal pain and was found, through invasive examinations to have a pancreatic choristoma within a duodenal diverticulum. The diagnosis was made using histopathology and immune-histochemistry testing.
Downloads
References
Offner FA, Langner C. Heterotopic tissue in the gastrointestinal tract. Pathologe. 2018;39:402-408.
Bromberg SH, Camilo Neto C, Borges AF, Franco MI, França LC, Yamaguchi N. Pancreatic heterotopias: clinicopathological analysis of 18 patients. Rev Col Bras Cir. 2010; 37:413-9.
Betzler A, Mees S, Pump J, Schölch S, Zimmermann C, Aust D, et al. Clinical impact of duodenal pancreatic heterotopia - Is there a need for surgical treatment? BMC Surg. 2017; 17: 53.
Calabrese E, Lolli E, Maccioni F, Poggioli G. Complete heterotopic pancreas. Dig Liver Dis. 2018; 50: 969.
Zhang Y, Sun X, Gold JS, Sun Q, Lv Y, Li Q, et al. Heterotopic pancreas: a clinicopathological study of 184 cases from a single high-volume medical center in China. Hum Pathol. 2016;55:135-42.
Kim DU, Lubner MG, Mellnick VM, Joshi G, Pickhardt PJ. Heterotopic pancreatic rests: imaging features, complications, and unifying concepts. Abdom Radiol (NY). 2017; 42:216-225.
Rezvani M, Christine M, Sandrasegaran K, Olpin JD, Elsayes KM, Shaaban AM. Heterotopic Pancreas: Histopathologic Features, Imaging Findings, and Complications. Radiographics. 2017; 37:484-499.
Jun SY, Son D, Kim MJ, Kim SJ, An S, Park YS, et al. Heterotopic Pancreas of the Gastrointestinal Tract and Associated Precursor and Cancerous Lesions: Systematic Pathologic Studies of 165 Cases. Am J Surg Pathol. 2017;41:833-848.
Johncilla M, Yantiss RK. Malformations, choristomas, and hamartomas of the gastrointestinal tract and pancreas. Semin Diagn Pathol. 2019; 36:24-38.
Aslan S, Nural MS. CT features of asymptomatic heterotopic pancreas in jejunal mesentery. Turk J Gastroenterol 2019;30:208-10.
Schiappacasse G, Villacrés F, Cavalla C, Orellana F, Gallardo A, Charles R. Pseudoquiste de páncreas intramural gástrico como causa de retención gástrica. Rev Med Chile 2018;146: 933-937.
Xiang S, Zhang F, Xu G. Ectopius pancreas in the ilium: An unusual condition and our experience. Medicina (Baltimore). 2019; 98:e17691.
Trifan A, Târcoveanu E, Danciu M, HuÅ£anaÅŸu C, Cojocariu C, Stanciu C. Gastric heterotopic pancreas: an unusual case and review of the literature. J Gastrointestin Liver Dis 2012; 21:209-12.
Chin KM, Tanb D, Chanc N, Goha B. Successful preoperative diagnosis of heterotopic pancreas in the duodenum. Int J Surg Case Rep. 2019; 55:125-128.
Li J, Huang H, Huo S, Liu Y, Xu G, Gao H, et al. Ectopic pancreatic tissue in the wall of the small intestine: Two rare case reports. Medicine (Baltimore). 2017;96: e7986.
Bazán-Zender C, Reyes-Coloma L, León-Cueto JL, Revoredo-Palacios G, Arias-Stella Castillo J, Pezo A. Páncreas heterotópico como causa de invaginación intestinal: primer caso reportado en el Perú. Rev Peru Med Exp Salud Publica. 2015;32:598-602.
Cazacu IM, Luzuriaga-Chavez AA, Nogueras-Gonzalez GM, Saftoiu A, Bhutani MS. Malignant Transformation of Ectopic Pancreas. Dig Dis Sci. 2019;64:655-668.
Published
Issue
Section
License
Copyright (c) 2021 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
