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Ectopic pancreas as a cause of gastric outlet obstruction in an infant

S B Sharma1, Vipul Gupta

  • 1Department of Neonatal and Pediatric Surgery, S M S Medical College, S P Mother and Child Health Institute, Jaipur, India. rinkstoocool2002@yahoo.co.in

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|January 4, 2005
PubMed

Insights

A one-month-old infant experienced gastric outlet obstruction due to a prepyloric mass. Surgery revealed ectopic pancreatic tissue, resolving the obstruction and leading to a full recovery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Pathology

Background:

  • Gastric outlet obstruction is a critical condition in infants, often requiring surgical intervention.
  • Ectopic pancreatic tissue, while rare, can manifest in various gastrointestinal locations.
  • Congenital anomalies of the stomach present diagnostic and therapeutic challenges in neonates.

Observation:

  • A one-month-old male infant presented with symptoms and imaging consistent with gastric outlet obstruction.
  • Surgical exploration identified a mass in the pyloric region of the stomach.
  • Histological analysis of the resected mass confirmed the presence of ectopic pancreatic tissue.

Findings:

  • Ectopic pancreatic tissue in the prepyloric region can cause significant gastric outlet obstruction in infants.
  • Surgical resection of the ectopic pancreatic tissue effectively resolved the obstruction.
  • The infant demonstrated a complete recovery and remained well at an 8-month follow-up.

Implications:

  • This case highlights the importance of considering ectopic pancreatic tissue in the differential diagnosis of infantile gastric outlet obstruction.
  • Early surgical intervention for symptomatic ectopic pancreatic tissue can lead to favorable outcomes.
  • Understanding the embryological basis of ectopic tissues is crucial for managing rare pediatric gastrointestinal anomalies.

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