Wang Qun-Ying, Yang Xiao-Yun, Zhang Zhongheng
1 Department of Gastroenterology, 2 Department Of Critical care medicine, Jinhua Municipal Central Hospital, Jinhua 321000, China.
Quant Imaging Med Surg. 2015 Oct;5(5):783-6. doi: 10.3978/j.issn.2223-4292.2015.01.09.
Ectopic pancreas is extremely rare in clinical setting. Meanwhile, a stubborn anemia without obvious dark bloody stool due to ectopic pancreas diagnosed by capsule endoscopy has not been reported. We reported a case of an ectopic pancreas inducing obscure gastrointestinal bleeding in a 70-year-old woman presenting as stubborn anemia, which was diagnosed by capsule endoscopy. The patient recovered well after resection the lesion. Diagnosis of ectopic pancreas is extremely difficult with conventional techniques. Endoscopists should pay more attention to the ectopic pancreas as a rare differential consideration for occult intestinal bleeding.
异位胰腺在临床中极为罕见。同时，经胶囊内镜诊断为由异位胰腺导致的顽固性贫血且无明显黑便的情况尚未见报道。我们报告了一例70岁女性患者，异位胰腺引发隐匿性胃肠道出血，表现为顽固性贫血，经胶囊内镜诊断。切除病灶后患者恢复良好。用传统技术诊断异位胰腺极其困难。内镜医师应更多地关注异位胰腺，将其作为隐匿性肠道出血的一种罕见鉴别诊断考虑因素。
