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Ectopic pancreatic tissue in stomach: A case report.
Daniel Paramythiotis1, Angeliki Sevasti Kollatou1, Theodora Simou1
1First Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, 55636, Thessaloniki, Greece.
Annals of Medicine and Surgery (2012)
|July 21, 2022
Summary
Ectopic pancreas (EP) in the stomach is rare and often asymptomatic, posing diagnostic challenges. Surgical resection and histopathology are crucial for accurate diagnosis and treatment of this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Ectopic pancreas (EP) is a rare congenital anomaly, frequently found in the gastrointestinal tract, particularly the stomach.
- Diagnosis can be challenging due to its asymptomatic nature or non-specific symptoms like heartburn.
Observation:
- A 52-year-old woman presented with heartburn, leading to the discovery of a subepithelial lesion in the gastric antrum.
- Imaging studies yielded conflicting results, with MRI suggesting ectopic pancreas and CT indicating a gastrointestinal stromal tumor.
Findings:
- Wedge gastrectomy confirmed the presence of ectopic pancreas.
- Histopathological examination is essential for definitive diagnosis, as EP can mimic other gastric subepithelial lesions, including adenocarcinoma.
Implications:
- Surgical resection is vital for both diagnosis and treatment of gastric ectopic pancreas.
- Clinicians must maintain awareness of EP as a differential diagnosis for gastric subepithelial masses.

