Navickas Gediminas, Valančienė Dileta
Vilniaus universiteto Medicinos fakultetas.
Vilniaus universiteto ligoninės Santariškių klinikos, Radiologijos ir branduolinės medicinos centras.
Acta Med Litu. 2016;23(2):147-151. doi: 10.6001/actamedica.v23i2.3332.
Ectopic pancreas is a rare congenital disorder characterized by the presence of the normal pancreatic tissue located outside the pancreas. The heterotopic pancreatic tissue in the mesentery of the jejunum is an entity that is seen very rarely. It is often found incidentally at different sites in the gastrointestinal (GI) tract. Although it is usually a silent anomaly, an ectopic pancreas may become clinically evident when complicated by inflammation, bleeding, obstruction or malignant transformation. However, the development of clinical symptoms depends on the size, location, and pathological changes similar to those observed in the case of the normal pancreas. Surgery is not indicated unless complications occur, so diagnosis is very important for prevention of unnecessary surgery. We present a case that had the ectopic pancreatic tissue in the mesentery of the jejunum. We show the computed tomography imaging findings of this patient. The presented case report demonstrated that heterotopic pancreas should always be considered in the differential diagnosis of gastric tumours. ectopic heterotopic pancreas, jejunum, mesentery.
异位胰腺是一种罕见的先天性疾病,其特征是正常胰腺组织出现在胰腺以外的部位。空肠系膜中的异位胰腺组织是一种非常罕见的实体。它常于胃肠道(GI)的不同部位被偶然发现。尽管它通常是一种无症状的异常情况,但当并发炎症、出血、梗阻或恶变时,异位胰腺可能会出现临床症状。然而,临床症状的出现取决于其大小、位置以及与正常胰腺类似的病理变化。除非发生并发症,否则不建议进行手术,因此诊断对于预防不必要的手术非常重要。我们报告一例空肠系膜中存在异位胰腺组织的病例。我们展示了该患者的计算机断层扫描成像结果。所呈现的病例报告表明,在胃肿瘤的鉴别诊断中应始终考虑异位胰腺。异位胰腺、空肠、系膜