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[胃黏膜下肿瘤:异位胰腺。病例报告及文献复习]

[Submucosal gastric tumour: heterotopic pancreas. A case report and review of the literature].

作者信息

Esquivel Carlos, Ballario Federico, García Sebastián, Giraudo Pedro, Esteban Granero Lucas

机构信息

Servicio de Cirugía General, Sanatorio Allende, Córdoba, Argentina.

出版信息

Acta Gastroenterol Latinoam. 2011 Sep;41(3):234-7.

Abstract

Heterotopic pancreas is the presence of pancreatic tissue outside the anatomical location of the pancreas. It is a rare condition and can occur anywhere in the gastrointestinal tract with the stomach and small bowel as the most common sites. It is usually asymptomatic but may become clinically evident when complicates by pathologic changes such as inflammation, bleeding, obstruction and malignant transformation. We report the case of a 49-year-old man who presented with recurrent epigastric pain. The upper gastrointestinal endoscopy revealed a submucosal tumour in the antrum. The histopathology study after surgery showed a heterotopic pancreatic tissue. Ectopic pancreas should be considered in the differential diagnosis of a submucosal gastric tumour.

摘要

异位胰腺是指胰腺组织出现在胰腺解剖位置以外的地方。这是一种罕见的病症,可发生于胃肠道的任何部位,最常见于胃和小肠。它通常没有症状,但当因炎症、出血、梗阻和恶变等病理变化而出现并发症时,可能会在临床上表现出来。我们报告一例49岁男性,他反复出现上腹部疼痛。上消化道内镜检查发现胃窦有一个黏膜下肿瘤。手术后的组织病理学研究显示为异位胰腺组织。在鉴别诊断胃黏膜下肿瘤时应考虑异位胰腺。

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