Hsu Sheng-Der, Chan De-Chuan, Hsieh Huan-Fa, Chen Teng-Wei, Yu Jyh-Cherng, Chou Shao-Jiun
Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Am J Surg. 2008 Apr;195(4):498-500. doi: 10.1016/j.amjsurg.2007.01.043.
Ectopic pancreas is relatively rare and is defined as pancreatic tissue that is situated abnormally, has no contact with the normal pancreas, and has its own ductal system and blood supply. It is usually an incidental finding in clinical practice. Most patients with an ectopic pancreas are asymptomatic, and, if present, symptoms are nonspecific and depend on the site of the lesion and the different complications encountered. Heterotopic pancreatic tissue has been found in several abdominal and intrathoracic locations, most frequently in the stomach (25%-60%) or the duodenum (25%-35%). Herein, we report a patient presenting with symptoms of ampullary tumor with obstructive jaundice, but the imaging study did not suggest the possibility of ectopic pancreas preoperatively.
异位胰腺相对罕见,定义为位于异常位置、与正常胰腺无连接且有自身导管系统和血供的胰腺组织。在临床实践中它通常是偶然发现的。大多数异位胰腺患者无症状,如有症状也无特异性,取决于病变部位及所遇到的不同并发症。异位胰腺组织已在多个腹部和胸腔部位被发现,最常见于胃(25% - 60%)或十二指肠(25% - 35%)。在此,我们报告一名表现为壶腹肿瘤伴梗阻性黄疸症状的患者,但术前影像学检查未提示异位胰腺的可能性。