Chirurgia (Bucur). 2024 Aug;119(eCollection):1-5. doi: 10.21614/chirurgia.119.eC.3001.
Heterotopic pancreas is a rare congenital abnormality. The most common location is the stomach, duodenum and proximal jejunum. Rare locations are represented by the ampulla of Vater, esophagus, ileum, Meckel diverticulum, biliary tract, mesentery and spleen. We present the case of a 49 year old patient investigated for obstructive jaundice and diagnosed with an ampullar heterotopy of pancreas parenchyma, initially considered to be a malignant tumor. A Whipple pancreatoduodenectomy was performed with good postoperative evolution, the serum levels of bilirubin being normal after the first postoperative week.
异位胰腺是一种罕见的先天性异常。最常见的部位是胃、十二指肠和空肠近端。少见的部位有 Vater 壶腹、食管、回肠、 Meckel 憩室、胆道、肠系膜和脾脏。我们报告了一例 49 岁患者，因梗阻性黄疸就诊，诊断为壶腹部胰腺实质异位，最初被认为是恶性肿瘤。行胰十二指肠 Whipple 切除术，术后恢复良好，术后第一周胆红素血清水平恢复正常。
