A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain
Abstract Background Ectopic pancreas is an infrequent submucosal tumor in the gastrointestinal tract defined as a pancreatic tissue lacking vascular or anatomic continuity with the main body of the pancreas. Ectopic pancreas in the ileum is a rare and often an incidental finding. We report a case of...
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| Format: | Article |
| Language: | English |
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BMC
2019-04-01
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| Series: | BMC Gastroenterology |
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| Online Access: | http://link.springer.com/article/10.1186/s12876-019-0971-7 |
| _version_ | 1818890456560304128 |
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| author | Rugile Mickuniene Ieva Stundiene Tomas Jucaitis Dileta Valanciene Jonas Valantinas |
| author_facet | Rugile Mickuniene Ieva Stundiene Tomas Jucaitis Dileta Valanciene Jonas Valantinas |
| author_sort | Rugile Mickuniene |
| collection | DOAJ |
| description | Abstract Background Ectopic pancreas is an infrequent submucosal tumor in the gastrointestinal tract defined as a pancreatic tissue lacking vascular or anatomic continuity with the main body of the pancreas. Ectopic pancreas in the ileum is a rare and often an incidental finding. We report a case of ectopic pancreas in the ileum causing obscure gastrointestinal bleeding and episodes of abdominal pain. Case presentation 59-year-old man with 3 months history of intermittent melena, accompanied by the episodes of abdominal pain in the left upper quadrant and generalized fatigue was admitted to our department. The investigations showed that the patient had a low hemoglobin level, i.e. 10.9 g/dL with hypochromic microcytic anemia pattern seen in complete blood count (MCV 70.2 fl, MCH 21.4 pg). Esophagogastroduodenoscopy and colonoscopy did not reveal any abnormalities. Magnetic resonance enterography revealed a large (2.5 × 2.3 cm) pedunculated polyp in the ileum. Examination by single-balloon enteroscopy revealed a polyp with long pedicle located approximately 1.5 m distal to terminal ileum. Polypectomy was performed. Histopathologic examination stated, that the specimen contained ectopic pancreatic tissue which was involving muscular layer of the ileum. Ectopic pancreatic tissue included acinar cells and cystically dilated secretory ducts without islets of Langerhans. Conclusion Our case report reveals a very rare cause of obscure gastrointestinal bleeding accompanied by the episodes of abdominal pain – an ectopic pancreas located in the ileum. |
| first_indexed | 2024-12-19T17:25:12Z |
| format | Article |
| id | doaj.art-fcf1443178c54721bff32c809cc4f8b7 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-19T17:25:12Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-fcf1443178c54721bff32c809cc4f8b72022-12-21T20:12:35ZengBMCBMC Gastroenterology1471-230X2019-04-011911710.1186/s12876-019-0971-7A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal painRugile Mickuniene0Ieva Stundiene1Tomas Jucaitis2Dileta Valanciene3Jonas Valantinas4Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius UniversityClinic of Gastroenterology, Nephrourology and Surgery, Vilnius UniversityClinic of Gastroenterology, Nephrourology and Surgery, Vilnius UniversityDepartment of Radiology, Nuclear Medicine and Physics of Medicine, Centre for Radiology and Nuclear Medicine, Vilnius UniversityClinic of Gastroenterology, Nephrourology and Surgery, Vilnius UniversityAbstract Background Ectopic pancreas is an infrequent submucosal tumor in the gastrointestinal tract defined as a pancreatic tissue lacking vascular or anatomic continuity with the main body of the pancreas. Ectopic pancreas in the ileum is a rare and often an incidental finding. We report a case of ectopic pancreas in the ileum causing obscure gastrointestinal bleeding and episodes of abdominal pain. Case presentation 59-year-old man with 3 months history of intermittent melena, accompanied by the episodes of abdominal pain in the left upper quadrant and generalized fatigue was admitted to our department. The investigations showed that the patient had a low hemoglobin level, i.e. 10.9 g/dL with hypochromic microcytic anemia pattern seen in complete blood count (MCV 70.2 fl, MCH 21.4 pg). Esophagogastroduodenoscopy and colonoscopy did not reveal any abnormalities. Magnetic resonance enterography revealed a large (2.5 × 2.3 cm) pedunculated polyp in the ileum. Examination by single-balloon enteroscopy revealed a polyp with long pedicle located approximately 1.5 m distal to terminal ileum. Polypectomy was performed. Histopathologic examination stated, that the specimen contained ectopic pancreatic tissue which was involving muscular layer of the ileum. Ectopic pancreatic tissue included acinar cells and cystically dilated secretory ducts without islets of Langerhans. Conclusion Our case report reveals a very rare cause of obscure gastrointestinal bleeding accompanied by the episodes of abdominal pain – an ectopic pancreas located in the ileum.http://link.springer.com/article/10.1186/s12876-019-0971-7Ectopic pancreasIleumGastrointestinal bleeding |
| spellingShingle | Rugile Mickuniene Ieva Stundiene Tomas Jucaitis Dileta Valanciene Jonas Valantinas A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain BMC Gastroenterology Ectopic pancreas Ileum Gastrointestinal bleeding |
| title | A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain |
| title_full | A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain |
| title_fullStr | A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain |
| title_full_unstemmed | A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain |
| title_short | A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain |
| title_sort | case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain |
| topic | Ectopic pancreas Ileum Gastrointestinal bleeding |
| url | http://link.springer.com/article/10.1186/s12876-019-0971-7 |
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