Tanemura H, Uno S, Suzuki M, Miyauchi Y, Shimokawa K, Saji S, Ohashi H, Sakata K
Am J Gastroenterol. 1987 Jul;82(7):685-8.
An operated case of a heterotopic gastric mucosa, accompanied by an aberrant pancreas tissue, in the bulb of the duodenum was reported. A 40-yr-old man complained of epigastralgia and was diagnosed to have a protruding lesion in the duodenum by roentgenological and endoscopic examinations. Partial excision of the duodenal wall including the mass was performed. Cut surface of the specimen showed a yellowish-whitish mass in the submucosal through the subserosal layers, which was covered by a papillary elevated mucous membrane. Histologically the mass was an aberrant pancreas of the Heinrich I-type and the mucous membrane covering the mass was a heterotopic gastric mucosa, consisting of completely developed fundic glands.
报告了一例十二指肠球部异位胃黏膜伴迷走胰腺组织的手术病例。一名40岁男性主诉上腹部疼痛，经X线和内镜检查诊断为十二指肠有一突出病变。对包括肿物在内的十二指肠壁进行了部分切除。标本切面显示，从黏膜下层到浆膜下层有一个黄白色肿物，其上覆盖着乳头状隆起的黏膜。组织学检查显示，该肿物为海因里希I型迷走胰腺，覆盖肿物的黏膜为异位胃黏膜，由完全发育的胃底腺组成。
