Iwuagwu Cindy C, Jensen Lillie, Parikh Jignesh, Zayat Vania
Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.
College of Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2024 Jul 10;16(7):e64228. doi: 10.7759/cureus.64228. eCollection 2024 Jul.
Heterotopic pancreas (HP) is the presence of pancreatic tissue outside of its normal anatomical position without vascular continuity from the main pancreas. HP is most commonly found within the gastrointestinal tract, particularly the stomach through the jejunum. This report shares the case of a 57-year-old man who presented with persistent vomiting despite medical therapy. Given the nonspecific and broad differential diagnosis, a histopathological examination was warranted for a definitive diagnosis that showed a uniquely large and well-differentiated type I HP in the lesser curvature of the stomach. Resection was completed which was followed with resolution of symptoms.
异位胰腺（HP）是指胰腺组织出现在其正常解剖位置以外，且与主胰腺无血管连续性。HP最常见于胃肠道内，尤其是从胃到空肠的部位。本报告分享了一例57岁男性患者的病例，该患者尽管接受了药物治疗仍持续呕吐。鉴于鉴别诊断不具特异性且范围广泛，有必要进行组织病理学检查以明确诊断，结果显示在胃小弯处存在一种独特的、体积大且分化良好的I型HP。手术切除完成后，症状得以缓解。
