Smith Sonya Ann, Savage Jack, Roetger Nicholas, Moar Xavier
Toowoomba Hospital, Pechey St, Toowoomba, Queensland 4350, Australia.
University of Queensland, 308 Queen St, Brisbane, Queensland 4072, Australia.
J Surg Case Rep. 2024 Jul 3;2024(7):rjae439. doi: 10.1093/jscr/rjae439. eCollection 2024 Jul.
Ectopic pancreas (EP) is an uncommon, congenital focus of pancreatic tissue that is discontinuous with the principal pancreas. A 62-year-old female underwent multiple investigations for chronic epigastric pain. EP was identified intra-operatively. On retrospection, earlier imaging showed a thickened segment of jejunum with inflammation of the surrounding small bowel mesentery, suggestive of jejunal EP pancreatitis. Histology confirmed ectopic pancreatic tissue, with sections of the EP showing evidence of previous acute and chronic pancreatitis. When no cause for chronic abdominal pain is found, diagnostic laparoscopy should be considered, and the small bowel inspected, to further investigate for rare causes of abdominal pain, such as EP.
异位胰腺(EP)是一种罕见的先天性胰腺组织病灶,与主胰腺不连续。一名62岁女性因慢性上腹部疼痛接受了多项检查。术中发现了异位胰腺。回顾既往,早期影像学显示空肠一段增厚,周围小肠系膜有炎症,提示空肠异位胰腺胰腺炎。组织学证实为异位胰腺组织,异位胰腺切片显示有既往急性和慢性胰腺炎的证据。当未发现慢性腹痛的病因时,应考虑诊断性腹腔镜检查,并检查小肠,以进一步探究腹痛的罕见病因,如异位胰腺。