Duphare H, Nijhawan S, Rana S, Bhargava D K
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi.
Am J Gastroenterol. 1990 Jan;85(1):68-71.
Heterotopic gastric and pancreatic tissues rarely involves large bowel. We report the case of a 30-yr-old man who presented with lower gastrointestinal bleeding. The barium enema showed an ulcerated mass lesion at the splenic flexure. Colonoscopy revealed a polypoid ulcerated lesion at the splenic flexure. The resected specimen, on histological examination, showed a polypoid lesion lined by gastric mucosa. The base of the polyp also showed ectopic pancreatic tissue. The patient recovered completely after surgery.
异位胃和胰腺组织很少累及大肠。我们报告一例30岁男性,表现为下消化道出血。钡灌肠显示脾曲处有一个溃疡型肿块病变。结肠镜检查发现脾曲处有一个息肉样溃疡病变。切除标本经组织学检查显示,息肉样病变内衬胃黏膜。息肉底部还显示有异位胰腺组织。患者术后完全康复。