Gastroenterology, Gaochun People's Hospital.
Pathology, Gaochun People's Hospital.
Rev Esp Enferm Dig. 2023 Feb;115(2):87-88. doi: 10.17235/reed.2022.8771/2022.
A 58-year-old man presented to our hospital due to upper abdominal pain for 2 months. Gastroscopy showed a 1.5×1.5×1 cm3 protuberant lesion in the gastric antrum. Magnifying endoscopy with blue laser imaging showed roughly normal micro-surface and micro-vessel structure. Endoscopic ultrasonography showed the lesion originated from the muscularis propria, with low-density irregular cystic echo. Then the patient received treatment of gastrointestinal lesions with endoscopic submucosal dissection. During the operation, it could be seen that the lesion was mainly located in the submucosa, the local depth of which reached the muscularis mucosae. It was tan-white in color, with toughness and cystic tactile sensation. The operation went smoothly and his recovery was good. Pathological studies showed that pancreatic tissue was found in the lesion, which was composed of exocrine acini and ducts. Meanwhile, dilated cystic glands were found in the excised specimens. He was eventually diagnosed as ectopic pancreas in gastric antrum complicated with gastritis cystica profunda (GCP).
一位 58 岁男性因上腹疼痛 2 个月就诊于我院。胃镜检查示胃窦部 1.5×1.5×1 cm3 隆起性病变。放大内镜下蓝色激光成像显示大致正常的黏膜微表面和微血管结构。超声内镜示病变起源于固有肌层，呈低回声不规则囊性回声。随后患者接受内镜黏膜下剥离术治疗胃肠道病变。术中可见病变主要位于黏膜下层，局部深度达黏膜肌层。病变呈灰白色，质地坚韧，有囊性触感。手术顺利，患者恢复良好。病理研究显示病变中存在胰腺组织，由外分泌腺泡和导管组成。同时，在切除标本中发现扩张的囊性腺体。最终诊断为胃窦异位胰腺合并深部囊性胃炎（GCP）。
