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.

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