Maggi G, Navarra L, Cianca G, Vittorini V, Ciccarelli O, Pietroletti R, Ierace A, Sindici G
Dipartimento di Scienze Chirurgiche - Cattedra di Chirurgia Generale II - Universitá di L' Aquila.
Ann Ital Chir. 2002 Nov-Dec;73(6):647-9.
Ectopic pancreas is a rare congenital abnormality probably due to a derangement of embryologic development of digestive tract. Its frequency is reported in the literature between 0.5-14% predominantly distributed in the stomach, duodenum, jejunum. Such condition is extremely difficult to be diagnosed, in fact most of the case of ectopic pancreas are an accidental finding. We describe a case of ectopic pancreas located in the Meckel's diverticulum, resected at laparotomy performed for colonic disease. Although in retrospective review symptoms from ectopic pancreas are reported in up to 50% of the cases our patient was free of symptoms. In addition the finding of ectopic pancreas in Meckel's diverticulum has been described only seldom in the previous literature. Treatment however should always be resection in order to prevent complications that may occur, although rarely.
异位胰腺是一种罕见的先天性异常，可能是由于消化道胚胎发育紊乱所致。据文献报道，其发生率在0.5%-14%之间，主要分布于胃、十二指肠、空肠。这种情况极难诊断，事实上，大多数异位胰腺病例都是偶然发现的。我们描述了一例位于梅克尔憩室的异位胰腺病例，该病例在因结肠疾病行剖腹手术时被切除。尽管回顾性研究显示，高达50%的异位胰腺病例有症状，但我们的患者却没有症状。此外，以往文献中很少描述在梅克尔憩室中发现异位胰腺的情况。然而，为了预防可能发生的并发症（尽管很少见），治疗通常应采取切除手术。
