Atypical presentations of ectopic pancreatic tissue
Background: Ectopic pancreatic tissue (EPT) in a Meckel diverticulum is a well-known anomaly. Other locations are rare, especially in pediatric patients. We report on three children with incidental findings of EPT and reviewed the literature. Patients and methods: Three children with incidental find...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576620300841 |
| _version_ | 1818502741645852672 |
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| author | P.S. Sulser S. Azarhoush D.C. Aronson S.J. Tharakan N. Zweifel U. Moehrlen |
| author_facet | P.S. Sulser S. Azarhoush D.C. Aronson S.J. Tharakan N. Zweifel U. Moehrlen |
| author_sort | P.S. Sulser |
| collection | DOAJ |
| description | Background: Ectopic pancreatic tissue (EPT) in a Meckel diverticulum is a well-known anomaly. Other locations are rare, especially in pediatric patients. We report on three children with incidental findings of EPT and reviewed the literature. Patients and methods: Three children with incidental findings of EPT treated in our department, and 62 patients found in the literature were analyzed. The literature search was performed excluding EPT in Meckel's diverticulum and in tumors, i.e. teratomas. Results: Two of our patients presented with an umbilical mass. The third patient presented with a gastric outlet obstruction due to an antral/pyloric mass. Histopathology showed EPT in all three of our patients without any signs of malignancy.In the literature, patients with EPT often appear to be asymptomatic. Symptomatic patients may present with bowel obstruction or intussusception. EPT in the umbilicus frequently seems to cause umbilical discharge. Our analysis supported the leading opinion in the literature that the upper gastrointestinal tract and especially the gastric antrum must be considered the most common location of EPT. Conclusion: Although unusual in children, awareness of EPT may help to obtain the proper diagnosis faster and to plan accurate surgical therapy. Levelof evidence: Prognosis study, Level IV. |
| first_indexed | 2024-12-10T21:14:30Z |
| format | Article |
| id | doaj.art-7b2e986a84114c6989d4e926759b56ea |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-10T21:14:30Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-7b2e986a84114c6989d4e926759b56ea2022-12-22T01:33:21ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-07-0158Atypical presentations of ectopic pancreatic tissueP.S. Sulser0S. Azarhoush1D.C. Aronson2S.J. Tharakan3N. Zweifel4U. Moehrlen5Corresponding author. Department of Pediatric Surgery, University Children's Hospital Zürich, Steinwiesstrasse 75, CH-8032, Zürich, Switzerland.; Department of Pediatric Surgery, University Children's Hospital Zürich, Zürich, SwitzerlandDepartment of Pediatric Surgery, University Children's Hospital Zürich, Zürich, SwitzerlandDepartment of Pediatric Surgery, University Children's Hospital Zürich, Zürich, SwitzerlandDepartment of Pediatric Surgery, University Children's Hospital Zürich, Zürich, SwitzerlandDepartment of Pediatric Surgery, University Children's Hospital Zürich, Zürich, SwitzerlandDepartment of Pediatric Surgery, University Children's Hospital Zürich, Zürich, SwitzerlandBackground: Ectopic pancreatic tissue (EPT) in a Meckel diverticulum is a well-known anomaly. Other locations are rare, especially in pediatric patients. We report on three children with incidental findings of EPT and reviewed the literature. Patients and methods: Three children with incidental findings of EPT treated in our department, and 62 patients found in the literature were analyzed. The literature search was performed excluding EPT in Meckel's diverticulum and in tumors, i.e. teratomas. Results: Two of our patients presented with an umbilical mass. The third patient presented with a gastric outlet obstruction due to an antral/pyloric mass. Histopathology showed EPT in all three of our patients without any signs of malignancy.In the literature, patients with EPT often appear to be asymptomatic. Symptomatic patients may present with bowel obstruction or intussusception. EPT in the umbilicus frequently seems to cause umbilical discharge. Our analysis supported the leading opinion in the literature that the upper gastrointestinal tract and especially the gastric antrum must be considered the most common location of EPT. Conclusion: Although unusual in children, awareness of EPT may help to obtain the proper diagnosis faster and to plan accurate surgical therapy. Levelof evidence: Prognosis study, Level IV.http://www.sciencedirect.com/science/article/pii/S2213576620300841Ectopic pancreasPancreatic malformationOmphalo-mesenteric ductUmbilical swellingChildren |
| spellingShingle | P.S. Sulser S. Azarhoush D.C. Aronson S.J. Tharakan N. Zweifel U. Moehrlen Atypical presentations of ectopic pancreatic tissue Journal of Pediatric Surgery Case Reports Ectopic pancreas Pancreatic malformation Omphalo-mesenteric duct Umbilical swelling Children |
| title | Atypical presentations of ectopic pancreatic tissue |
| title_full | Atypical presentations of ectopic pancreatic tissue |
| title_fullStr | Atypical presentations of ectopic pancreatic tissue |
| title_full_unstemmed | Atypical presentations of ectopic pancreatic tissue |
| title_short | Atypical presentations of ectopic pancreatic tissue |
| title_sort | atypical presentations of ectopic pancreatic tissue |
| topic | Ectopic pancreas Pancreatic malformation Omphalo-mesenteric duct Umbilical swelling Children |
| url | http://www.sciencedirect.com/science/article/pii/S2213576620300841 |
| work_keys_str_mv | AT pssulser atypicalpresentationsofectopicpancreatictissue AT sazarhoush atypicalpresentationsofectopicpancreatictissue AT dcaronson atypicalpresentationsofectopicpancreatictissue AT sjtharakan atypicalpresentationsofectopicpancreatictissue AT nzweifel atypicalpresentationsofectopicpancreatictissue AT umoehrlen atypicalpresentationsofectopicpancreatictissue |