Choi Woo Hyung, Chang Hyoung Jin, Seung Jee Hwan, Ko Bong Suk, Kang Sang Bum
Division of Gastroenterology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
Korean J Gastroenterol. 2013 Sep;62(3):165-8. doi: 10.4166/kjg.2013.62.3.165.
A jejunal ectopic pancreas, where pancreatic tissue is found outside of the usual anatomical location, is a rare submucosal tumor that may cause obscure gastrointestinal (GI) bleeding. After initial negative endoscopic evaluation of the obscure GI bleeding, including colonoscopy and/or upper endoscopy, it is reasonable to proceed with further evaluation of the small bowel. Diagnostic options for the evaluation of the small bowel may include capsule endoscopy, push enteroscopy, or barium contrast small bowel studies. Here, we report a case of obscure GI bleeding caused by a jejunal ectopic pancreas, diagnosed through capsule endoscopy and barium contrast small bowel studies, which was treated successfully with single incision access laparoscopy.
空肠异位胰腺是一种罕见的黏膜下肿瘤，指胰腺组织出现在正常解剖位置以外的地方，可能导致不明原因的胃肠道（GI）出血。在对不明原因的胃肠道出血进行初步内镜评估（包括结肠镜检查和/或上消化道内镜检查）呈阴性后，对小肠进行进一步评估是合理的。小肠评估的诊断方法可能包括胶囊内镜检查、推进式小肠镜检查或钡剂小肠造影。在此，我们报告一例由空肠异位胰腺引起的不明原因胃肠道出血病例，通过胶囊内镜检查和钡剂小肠造影确诊，并经单切口腹腔镜手术成功治疗。
