Ectopic pancreas in gastric antrum associated to reflux symptoms. Report of a case

Authors

Keywords:

, gastric ectopic pancreas, gastro-esophageal reflux.

Abstract

Ectopic pancreas is a little common entity. As congenital-originated sub mucous tumor, it frequently presents an asymptomatic course, though with possible complications. Its definitive diagnosis is based in the endoscopy, endoscopic ultrasound and histology, allowing to adopt an expectant or surgical behavior. The current patient presented an unresponsive-to-treatment ectopic pancreas   located in the gastric antrum associated to gastro-esophageal reflux symptoms. This motivated the endoscopic study consequently leading to finding this entity.

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References

1. Rosales Torres P, Pila Pérez R, León Acosta P, et al. Heterotopia pancreática en pólipo gástrico. Presentación de caso. Rev Colomb Gastroenterol [Internet]. 2019 [citado 12/12/19]; 34(3). Disponible en: https://revistagastrocol.com/index.php/rcg/article/view/214.

2. Hsia CY, Wu CW, Lui WY. Heterotopic pancreas: A difficult diagnosis. J Clin Gastroenterol. 1999; 28(2): 144-7. Citado en PubMed; PMID: 10078823.

3. Laguna del Estal P, García Madero R, Dragolici Mihailescu D, et al. Pancreatitis aguda sobre páncreas ectópico en antro gástrico. Gastroenterología y Hepatología [Internet]. 2009 [citado 12/12/19]; 32(9): 665-7 Disponible en: https://www.elsevier.es/es-revista-gastroenterologia-hepatologia-14-articulo-pancreatitis-aguda-sobre-pancreas-ectopico-S0210570509003689.

4. Montero Zhang Y, Sun X, Gold JS, et al. Heterotopic pancreas: A clinicopathological study of 184 cases from a single high‑volume medical center in China. Hum Pathol. 2016; 55: 135‑42. Citado en PubMed; PMID: 27195908.

5. Yusuke Y, Tomohiro Y, Yusuke K, et al. Adenocarcinoma arising from jejunal ectopic pancreas mimicking peritoneal metastasis from colon cancer: a case report and literature review. Surgical Case Reports. 2015; 1(1): 114. Citado en PubMed; PMID: 26943438.

6. Chung JP, Lee SI, Kim KW, et al. Duodenal ectopic pancreas complicated by chronic pancreatitis and pseudocyst formation – A case report. J Korean Med Sci. 1994; 9(4): 351‑6. Citado en PubMed; PMID: 7848585.

7. Hedenström P, Marschall HU, Nilsson B, et al. High clinical impact and diagnostic accuracy of EUS-guided biopsy sampling of subepithelial lesions: a prospective, comparative study. Surg Endosc. 2018; 32: 1304. Citado en PubMed; PMID: 28812151.

8. Hernández Garcés HR. Endoscopia digestiva superior diagnóstica.T. 2. Capítulo 9 [Internet]. 2da ed. La Habana: Editorial de Ciencias Médicas; 2014 [citado 12/12/19]. p. 245. Disponible en: www.ecimed.sld.cu/2014/12/15/2097/.

9. He G, Wang J, Chen B, et al. Feasibility of endoscopic submucosal dissection for upper gastrointestinal submucosal tumors treatment and value of endoscopic ultrasonography in pre‑operation assess and post‑operation follow‑up: A prospective study of 224 cases in a single medical center. Surg Endosc. 2016; 30(10): 4206‑13. Citado en PubMed; PMID: 26823060.

10. Hernández Amador JF, Arredondo Ortiz MA, Villanueva Sáenz E, et al. Páncreas ectópico en antro gástrico. Acta médica grupo Ángeles [Internet]. 2017 [citado 12/12/19]; 15(2). Disponible en: https://biblat.unam.mx/es/revista/acta-medica-grupo-angeles/articulo/pancreas-ectopico-en-antro-gastrico.

11. Melguizo M. Metaplasia intestinal del cardias en pacientes con síntomas de reflujo gastroesofágico con o sin esofagitis. Rev colomb. 2003; 18(4): 218-24. Citado en Pubmed; PMI: 363540.

12. Mostazo Torres J, Ruiz Padilla FJ, Vilchez Jaimez J. Diagnóstico casual de páncreas ectópico en relación con estudio de dolor epigástrico agudo. Comunicaciones [Internet]. España: XLVII Reunión Sociedad Andaluza de patología Digestiva, Granada; 2016 [citado 12/12/19]. Disponible en: https://www.sapd.es.

13. Gottschalk U, Dietrich CF, Jenssen C. Ectopic pancreas in the upper gastrointestinal tract: Is endosonographic diagnosis reliable? Data from the German Endoscopic Ultrasound Registry and review of the literature. Endosc Ultrasound. 2018; 7: 270-8. Citado en PubMed; PMID: 28836514.

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Published

2021-03-10

How to Cite

1.
Hernández Ortega A, Sánchez Cruz JC, Sánchez Hernández RC. Ectopic pancreas in gastric antrum associated to reflux symptoms. Report of a case. Rev Méd Electrón [Internet]. 2021 Mar. 10 [cited 2025 Jan. 23];43(2):517-24. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/3778

Issue

Vol. 43 No. 2 (2021)

Section

Presentation of cases

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