Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature
Cystic Dystrophy and Heterotopic Pancreas (CDHP) is a rare cause of chronic pancreatitis, duodenal obstruction and obstructive jaundice. The diagnosis is often delayed and requires multimodal imaging with Computed Tomography (CT), Magnetic Resonance Cholangio-Pancreatography (MRCP) and Endoscopic...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-09-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8498/20798_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
| _version_ | 1818272962223013888 |
|---|---|
| author | Gunjan Shailesh Desai Aniruddha Phadke Dattaprasanna Kulkarni |
| author_facet | Gunjan Shailesh Desai Aniruddha Phadke Dattaprasanna Kulkarni |
| author_sort | Gunjan Shailesh Desai |
| collection | DOAJ |
| description | Cystic Dystrophy and Heterotopic Pancreas (CDHP) is a rare cause of chronic pancreatitis, duodenal obstruction and obstructive
jaundice. The diagnosis is often delayed and requires multimodal imaging with Computed Tomography (CT), Magnetic Resonance
Cholangio-Pancreatography (MRCP) and Endoscopic Ultrasound (EUS). The treatment is not standardized but Pancreatoduodenectomy
(PD) provides long-term relief in some cases. The present case is about a 47-year-old male with history of alcohol abuse for 10 years
who presented with a history of recurrent acute pancreatitis. CT scan revealed bulky head of pancreas with a hypodense area between
pancreatic head and second part of duodenum, prominent pancreatic duct, Dilated Common Bile Duct (CBD) (15mm) and stenosis of
second part of duodenum. EUS confirmed CT findings. A Fine Needle Aspiration Cytology (FNAC) showed only inflammatory infiltrate.
A diagnosis of groove pancreatitis was made. The patient was subjected to a pylorus preserving PD. Histopathological examination
showed cystic dystrophy of duodenum due to heterotopic pancreas. The patient is doing well at 5 years of follow-up. |
| first_indexed | 2024-12-12T21:50:24Z |
| format | Article |
| id | doaj.art-038a8189c028412aaab3f743ed0a2f0f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-12T21:50:24Z |
| publishDate | 2016-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-038a8189c028412aaab3f743ed0a2f0f2022-12-22T00:10:48ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-09-01109PD11PD1310.7860/JCDR/2016/20798.8498Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of LiteratureGunjan Shailesh Desai0Aniruddha Phadke1Dattaprasanna Kulkarni2Registrar, Department of Gastrointestinal Surgery, Lilavati Hospital & Research Centre, Bandra West, Mumbai, Maharashtra, India.Consultant, Department of Medical Gastroenterology, Lilavati Hospital & Research Centre, Bandra West, Mumbai, Maharashtra, India.Consultant, Department of Gastrointestinal Surgery, Lilavati Hospital & Research Centre, Bandra West, Mumbai, Maharashtra, India.Cystic Dystrophy and Heterotopic Pancreas (CDHP) is a rare cause of chronic pancreatitis, duodenal obstruction and obstructive jaundice. The diagnosis is often delayed and requires multimodal imaging with Computed Tomography (CT), Magnetic Resonance Cholangio-Pancreatography (MRCP) and Endoscopic Ultrasound (EUS). The treatment is not standardized but Pancreatoduodenectomy (PD) provides long-term relief in some cases. The present case is about a 47-year-old male with history of alcohol abuse for 10 years who presented with a history of recurrent acute pancreatitis. CT scan revealed bulky head of pancreas with a hypodense area between pancreatic head and second part of duodenum, prominent pancreatic duct, Dilated Common Bile Duct (CBD) (15mm) and stenosis of second part of duodenum. EUS confirmed CT findings. A Fine Needle Aspiration Cytology (FNAC) showed only inflammatory infiltrate. A diagnosis of groove pancreatitis was made. The patient was subjected to a pylorus preserving PD. Histopathological examination showed cystic dystrophy of duodenum due to heterotopic pancreas. The patient is doing well at 5 years of follow-up.https://jcdr.net/articles/PDF/8498/20798_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdfduodenal cystspancreatic hamartomaparaduodenal pancreatitis |
| spellingShingle | Gunjan Shailesh Desai Aniruddha Phadke Dattaprasanna Kulkarni Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature Journal of Clinical and Diagnostic Research duodenal cysts pancreatic hamartoma paraduodenal pancreatitis |
| title | Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature |
| title_full | Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature |
| title_fullStr | Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature |
| title_full_unstemmed | Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature |
| title_short | Cystic Dystrophy of the Duodenum Due to Heterotopic Pancreas – A Case Report and Review of Literature |
| title_sort | cystic dystrophy of the duodenum due to heterotopic pancreas a case report and review of literature |
| topic | duodenal cysts pancreatic hamartoma paraduodenal pancreatitis |
| url | https://jcdr.net/articles/PDF/8498/20798_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
| work_keys_str_mv | AT gunjanshaileshdesai cysticdystrophyoftheduodenumduetoheterotopicpancreasacasereportandreviewofliterature AT aniruddhaphadke cysticdystrophyoftheduodenumduetoheterotopicpancreasacasereportandreviewofliterature AT dattaprasannakulkarni cysticdystrophyoftheduodenumduetoheterotopicpancreasacasereportandreviewofliterature |