Ectopic pancreas: An uncommon cause of recurrent abdominal pain

Ectopic pancreas is a disease where pancreatic tissue occurs outside its normal anatomic location, without vascular continuity. Symptoms for this condition may depend on the localization of the ectopic tissue and originate from either mass effect or inflammation. The diagnosis of ectopic pancreas ca...

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Main Authors: Fang-Chin Hsu, Hai-Ning Hsu, Yi-Jen Peng, Kuo-Feng Hsu
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2021-01-01
Series:Formosan Journal of Surgery
Subjects:
Online Access:http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=6;spage=244;epage=246;aulast=Hsu
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author Fang-Chin Hsu
Hai-Ning Hsu
Yi-Jen Peng
Kuo-Feng Hsu
author_facet Fang-Chin Hsu
Hai-Ning Hsu
Yi-Jen Peng
Kuo-Feng Hsu
author_sort Fang-Chin Hsu
collection DOAJ
description Ectopic pancreas is a disease where pancreatic tissue occurs outside its normal anatomic location, without vascular continuity. Symptoms for this condition may depend on the localization of the ectopic tissue and originate from either mass effect or inflammation. The diagnosis of ectopic pancreas can be challenging due to its rarity and nonspecific symptoms. Herein, we report a case of recurrent abdominal pain diagnosed with gastric ectopic pancreas of uncommon size in an uncommon location. Upper gastrointestinal (GI) endoscopy revealed a large gastric polyp and endoscopic needle biopsy only identified normal gastric mucosa. However, computed tomography imaging revealed a protruding mass that, upon excision, was identified as ectopic pancreatic tissue. Two different pathological findings arose from two different sampling methods, leading us to the conclusion that ectopic pancreas should always be considered in the diagnosis of a GI tumor.
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spelling doaj.art-d79d925261d8408eab94173c557d1e762023-09-03T07:51:05ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2021-01-0154624424610.4103/fjs.fjs_129_21Ectopic pancreas: An uncommon cause of recurrent abdominal painFang-Chin HsuHai-Ning HsuYi-Jen PengKuo-Feng HsuEctopic pancreas is a disease where pancreatic tissue occurs outside its normal anatomic location, without vascular continuity. Symptoms for this condition may depend on the localization of the ectopic tissue and originate from either mass effect or inflammation. The diagnosis of ectopic pancreas can be challenging due to its rarity and nonspecific symptoms. Herein, we report a case of recurrent abdominal pain diagnosed with gastric ectopic pancreas of uncommon size in an uncommon location. Upper gastrointestinal (GI) endoscopy revealed a large gastric polyp and endoscopic needle biopsy only identified normal gastric mucosa. However, computed tomography imaging revealed a protruding mass that, upon excision, was identified as ectopic pancreatic tissue. Two different pathological findings arose from two different sampling methods, leading us to the conclusion that ectopic pancreas should always be considered in the diagnosis of a GI tumor.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=6;spage=244;epage=246;aulast=Hsuabdominal painectopic pancreasgastric tumor
spellingShingle Fang-Chin Hsu
Hai-Ning Hsu
Yi-Jen Peng
Kuo-Feng Hsu
Ectopic pancreas: An uncommon cause of recurrent abdominal pain
Formosan Journal of Surgery
abdominal pain
ectopic pancreas
gastric tumor
title Ectopic pancreas: An uncommon cause of recurrent abdominal pain
title_full Ectopic pancreas: An uncommon cause of recurrent abdominal pain
title_fullStr Ectopic pancreas: An uncommon cause of recurrent abdominal pain
title_full_unstemmed Ectopic pancreas: An uncommon cause of recurrent abdominal pain
title_short Ectopic pancreas: An uncommon cause of recurrent abdominal pain
title_sort ectopic pancreas an uncommon cause of recurrent abdominal pain
topic abdominal pain
ectopic pancreas
gastric tumor
url http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=6;spage=244;epage=246;aulast=Hsu
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AT haininghsu ectopicpancreasanuncommoncauseofrecurrentabdominalpain
AT yijenpeng ectopicpancreasanuncommoncauseofrecurrentabdominalpain
AT kuofenghsu ectopicpancreasanuncommoncauseofrecurrentabdominalpain