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Gastric outlet obstruction caused by heterotopic pancreas
O T Ormarsson1, S E Haugen, I Juul
1Department of Paediatric Surgery, St. Olav's University Hospital, Trondheim, Norway. otormarsson@hotmail.com
Insights
Heterotopic pancreas (HP) is rare in children, but this case highlights its potential to cause gastric outlet obstruction. A 9-year-old boy
Area of Science:
- Pediatric Gastroenterology
- Surgical Pathology
Background:
- Heterotopic pancreas (HP) is an uncommon congenital anomaly.
- Symptomatic HP in the pediatric stomach is rarely reported.
- Gastric outlet obstruction is a potential complication.
Observation:
- A 9-year-old boy presented with nausea and vomiting.
- Initial gastroscopy revealed a crater-like lesion in the antrum.
- Follow-up endoscopy showed a polypoid lesion obstructing the pylorus.
Findings:
- Endoscopic biopsy was inconclusive.
- Histological examination after surgical excision confirmed heterotopic pancreas.
- The rapid change in lesion morphology was notable.
Implications:
- This case underscores the importance of considering HP in pediatric gastric outlet obstruction.
- Further investigation into the dynamic changes of HP lesions may be warranted.
- Surgical excision is curative for symptomatic HP.
Abstract:
Heterotopic pancreas (HP) in the stomach is a relatively well-known entity, but there are not many symptomatic cases reported in children. We report on a 9-year-old boy presenting with nausea and vomiting. The first gastroscopic examination showed a crater-like lesion in the antrum, but at follow-up gastroscopy a few weeks later the lesion was polypoid, obstructing the pylorus. Endoscopic biopsy was not diagnostic, but histological examination after open excision showed HP. It is unclear why the lesion changed so markedly in appearance in just a few weeks. HP is a rare cause of gastric outlet obstruction in children.
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