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Un raro caso de páncreas gástrico aberrante que causa sangrado de una úlcera gástrica
Tsuyoshi Saito1, Hirotaka Miyai1, Ryutaro Kato1
1Department of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan.
Surgical case reports
|February 10, 2026
Resumen
Un raro caso de sangrado de páncreas gástrico aberrante fue diagnosticado mediante endoscopia y citología. La cirugía laparoscópica extirpó con éxito el tumor, resolviendo el sangrado y la anemia.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Patología Quirúrgica Patología Quirúrgica.
Sus antecedentes:
- El páncreas aberrante, el tejido pancreático fuera del páncreas normal, generalmente ocurre en el tracto gastrointestinal.
- La mayoría de los casos de páncreas aberrante gástrico son asintomáticos, lo que complica el diagnóstico cuando se presentan síntomas como sangrado.
Objetivo del estudio:
- Para informar de un caso raro de páncreas gástrico aberrante sintomático que se presenta con sangrado.
- Para resaltar las estrategias de manejo diagnóstico y quirúrgico para esta condición.
Principales métodos:
- Un hombre de 34 años con dolor epigástrico y melena se sometió a endoscopia, ecografía endoscópica y biopsia.
- La histopatología confirmó tejido pancreático aberrante; se realizó una gastrectomía parcial laparoscópica para controlar el sangrado.
Principales resultados:
- Los hallazgos endoscópicos revelaron un tumor submucoso sangrante en el estómago.
- La cirugía laparoscópica logró la resección completa del páncreas aberrante (Heinrich tipo I).
- El curso postoperatorio del paciente fue sin incidentes, con la resolución de la anemia.
Conclusiones:
- El diagnóstico preoperatorio del páncreas gástrico aberrante con sangrado es posible a través del examen endoscópico y la citología.
- La gastrectomía parcial laparoscópica es un tratamiento eficaz para controlar el sangrado del páncreas gástrico aberrante.
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