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Acute ectopic pancreatitis occurring after endoscopic biopsy in a gastric ectopic pancreas

Seong Jun Lee1, Gwang Ha Kim1, Do Youn Park2

  • 1Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.

Clinical Endoscopy
|October 18, 2014
PubMed

Insights

This case report details a rare instance of acute ectopic pancreatitis in the stomach, a complication that developed after an endoscopic biopsy of a subepithelial tumor. This highlights a previously unreported risk associated with the procedure in patients with ectopic pancreas.

Area of Science:

  • Gastroenterology
  • Pathology
  • Endoscopic procedures

Background:

  • Ectopic pancreas is a common congenital anomaly found in the gastrointestinal tract.
  • Most ectopic pancreas cases are asymptomatic and rarely lead to complications.
  • Ectopic pancreatitis following endoscopic biopsy is an unreported event.

Purpose of the Study:

  • To report a case of acute ectopic pancreatitis in the stomach after an endoscopic biopsy.
  • To document a previously unrecognized complication of endoscopic biopsy in the presence of ectopic pancreas.

Main Methods:

  • A 71-year-old male with an asymptomatic gastric subepithelial tumor underwent endoscopic biopsy.
  • Endoscopic ultrasonography characterized the mural mass.
  • Histopathological examination confirmed ectopic pancreas.
  • Clinical and radiological assessments were performed post-biopsy.

Main Results:

  • The patient developed acute ectopic pancreatitis one day after endoscopic biopsy.
  • Symptoms included persistent epigastric pain with elevated serum amylase and lipase.
  • Computed tomography revealed gastric wall edema and swelling of the subepithelial tumor.

Conclusions:

  • Acute ectopic pancreatitis can occur as a complication of endoscopic biopsy in patients with gastric ectopic pancreas.
  • This case expands the known spectrum of complications associated with ectopic pancreas.
  • Awareness of this potential risk is crucial for managing patients undergoing endoscopic procedures for gastric subepithelial tumors.

Keywords:
Ectopic pancreasPancreatitisStomach

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