de Kok Bente M, de Korte Fleur I, Perk Lars E, Terpstra Valeska, Mieog J Sven D, Zijta Frank M
Department of Radiology, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA The Hague, Netherlands.
Department of Gastroenterology, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA The Hague, Netherlands.
Case Rep Gastrointest Med. 2018 Apr 15;2018:5640379. doi: 10.1155/2018/5640379. eCollection 2018.
Heterotopic pancreas is a relatively uncommon congenital anomaly, defined as pancreatic tissue in ectopic sites without an anatomic and vascular continuity with the main body of the pancreas. We report the case of a 58-year-old woman who was admitted to the hospital with the clinical suspicion of a mild, acute pancreatitis. Computed tomography, magnetic resonance imaging, transabdominal ultrasound, and endoscopic ultrasound revealed a normal orthotopic pancreas and the suspicion of a large heterotopic pancreas in the small bowel mesentery with signs of acute inflammation. The diagnosis of mesenteric heterotopic pancreatitis was preoperatively confirmed by endoscopic ultrasound-guided fine-needle aspiration and consequently histologically established after surgical resection.
异位胰腺是一种相对罕见的先天性异常，定义为胰腺组织位于异位部位，与胰腺主体无解剖和血管连续性。我们报告一例58岁女性患者，因临床怀疑为轻度急性胰腺炎入院。计算机断层扫描、磁共振成像、经腹超声和内镜超声检查显示原位胰腺正常，怀疑小肠系膜有一个较大的异位胰腺并有急性炎症迹象。术前通过内镜超声引导下细针穿刺确诊为肠系膜异位胰腺炎，手术切除后经组织学证实。
