Ogawa Sayaka, Miyaoka Youichi, Fujiwara Aya, Tsukano Kousuke, Kotani Satoshi, Yamanouchi Satoshi, Kusunoki Ryusaku, Ito Satoko, Fujishiro Hirofumi, Kohge Nariaki, Onuma Hideyuki
Department of Gastroenterology, Shimane Prefectural Central Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2015 Nov;112(11):1982-90. doi: 10.11405/nisshoshi.112.1982.
A man in his 40s was referred to our hospital with abdominal pain. A gastric submucosal tumor (SMT) was diagnosed nine years previously, but the patient was lost to follow-up. Upon our evaluation, the SMT had enlarged, as demonstrated by esophagogastroduodenoscopy and abdominal computed tomography. Endoscopic ultrasonography revealed a hypoechoic and isoechoic mosaic mass, which primarily occupied the third and fourth layers of the gastric wall. Aspiration cytodiagnosis was performed, the results of which led to a suspicion of adenocarcinoma arising from gastric ectopic pancreas. Next, we conducted segmental gastrectomy. Pathological examination showed adiponecrosis, a pancreatic stone, chronic inflammatory cell infiltration, and fibrosis. Thus, the patient was diagnosed with chronic pancreatitis occurring in a gastric aberrant pancreas.
