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Published on: November 10, 2018
Ectopic Pancreas in the Gastric Antrum Wall Complicated by Ectopic Pancreatitis and Persistent Gastric Abscess
Yaseen Alastal1, Basmah Khalil2, Surendra Singh3,4
1Department of Medicine, Division of Gastroenterology, University of Toledo Medical Center, College of Medicine and Life Sciences, Toledo, OH.
Abstract:
Ectopic pancreas is an uncommon finding in the stomach. Complications are rare but can lead to significant morbidity and even mortality. We report a 49-year-old man who presented with upper abdominal pain, vomiting, and weight loss and was found to have a gastric wall abscess that developed a few weeks after endoscopic biopsy of a gastric ulcer. After medical treatment failed to resolve his symptoms, he underwent distal gastrectomy with Roux-en-Y gastrojejunostomy. Postoperatively, the gastric wall abscess was determined to have derived from a focus of ectopic pancreatic tissue with evidence of ectopic chronic pancreatitis.
Insights
Ectopic pancreas in the stomach is rare and can cause serious complications. This case highlights a gastric wall abscess originating from ectopic pancreatic tissue, leading to surgical intervention.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Ectopic pancreas is a rare congenital anomaly.
- Gastric ectopic pancreas can present with complications, though infrequently.
Observation:
- A 49-year-old male presented with abdominal pain, vomiting, and weight loss.
- A gastric wall abscess developed weeks after endoscopic biopsy of a gastric ulcer.
Findings:
- The gastric wall abscess was attributed to a focus of ectopic pancreatic tissue.
- Histopathology confirmed ectopic chronic pancreatitis within the gastric wall.
Implications:
- This case underscores the potential for complications from gastric ectopic pancreas.
- Prompt diagnosis and surgical management are crucial for resolving such abscesses.
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