Gálvez-Valdovinos R, Mendoza-Rodríguez A, Coronado-Perez J H, Santillan E Marin, Funes-Rodríguez F
Departments of Surgery and Endoscopy, "Hospital Angeles", León Guanajuato, México.
J Minim Access Surg. 2006 Dec;2(4):224-6. doi: 10.4103/0972-9941.28186.
Heterotopic pancreas is a rare condition and its diagnosis is often difficult. Traditionally the condition is treated by open surgery. We report two young women with symptomatic heterotopic pancreas located in the prepyloric region. In the first patient, upper gastrointestinal endoscopy identified a round sessile lesion with a central umbilication of the mucosa without bleeding and in the second endoscopy showed a lesion with intraluminal protrusion. In both cases, a diagnostic laparoscopy identified masses amenable to laparoscopic excision. Intraoperative histology confirmed ectopic pancreatic tissue in both. In the treatment of heterotopic pancreas, laparoscopic excision provides a feasible, safe and effective treatment option.
异位胰腺是一种罕见疾病，其诊断往往困难。传统上，该疾病通过开放手术治疗。我们报告了两名患有位于幽门前区的有症状异位胰腺的年轻女性。在首例患者中，上消化道内镜检查发现一个圆形无蒂病变，黏膜中央有脐凹，无出血；在第二例患者中，内镜检查显示一个腔内突出性病变。在这两例中，诊断性腹腔镜检查均发现适合腹腔镜切除的肿块。术中组织学检查在两例中均证实为异位胰腺组织。在异位胰腺的治疗中，腹腔镜切除提供了一种可行、安全且有效的治疗选择。
