Dickerson Austin, Farrell Aran, Bushra Abida, Celinski Scott, Konda Vani J A, Kale Hemangi, Nguyen Anh D
Department of Medicine, Baylor University Medical Center, Dallas, TX.
Department of Pathology, Baylor University Medical Center, Dallas, TX.
ACG Case Rep J. 2023 Feb 10;10(2):e00988. doi: 10.14309/crj.0000000000000988. eCollection 2023 Feb.
Ectopic pancreas is a rare entity referring to the presence of pancreatic tissue at an anatomic location distinct from the pancreas. Ectopic pancreatic lesions in the stomach present a diagnostic challenge because the lack of distinguishing imaging and endoscopic features make them difficult to differentiate from other types of submucosal lesions. We report a case of ectopic pancreas presenting as a gastric antral mass with a unique combination of rare complications: chronic pancreatitis and pseudocyst formation causing gastric outlet obstruction. This case highlights complications that can occur from ectopic pancreatic lesions and the challenges of diagnosing ectopic pancreas.
异位胰腺是一种罕见的病症，指的是在与胰腺不同的解剖位置出现胰腺组织。胃内的异位胰腺病变带来了诊断挑战，因为缺乏可区分的影像学和内镜特征，使得它们难以与其他类型的黏膜下病变相鉴别。我们报告一例异位胰腺病例，其表现为胃窦部肿块，并伴有罕见并发症的独特组合：慢性胰腺炎和假性囊肿形成导致胃出口梗阻。该病例凸显了异位胰腺病变可能出现的并发症以及诊断异位胰腺的挑战。
