HETEROTOPIC PANCREAS OF THE GIT: TWO CASE STUDIES AND LITERATURE REVIEW
DOI:
https://doi.org/10.15547/tjs.2024.03.013Keywords:
heterotopic pancreas, ectopic pancreas, ultrasonography, gastroscopy, Mekel's diverticulumAbstract
Heterotopic pancreas is pancreatic tissue that is found outside its anatomical location. It is asymptomatic and is detected accidently. The risk of malignant transformation is low. It can be found in all organs of the GIT. Purpose: We present two clinical cases of heterotopic pancreas. The first patient is a 61-year-old man who presented with pain in the epigastrium, the upper right quadrant, weight loss and history of gallstone disease, gastritis and peptic ulcer. The second case is a 79-year-old woman, hospitalized with complaints of abdominal pain, nausea, and vomiting. Results: The patients were operated. The intraoperative finding was chronically inflamed gallbladder and tumour formation in the pyloro-antral part of the stomach. Cholecystectomy and resection of the tumour formation were performed, followed by pyloroplasty in first patient. Internal incarceration of the ileum with necrosis and Meckel's diverticulum was established. Resection of the small intestine was performed with anastomosis and resection of the Meckel’s diverticulum in the second case. Histological examination of both specimens revealed ectopic pancreatic tissue in the stomach and in the Meckel's diverticulum. Conclusions: Heterotopic pancreas is a rare pathology. Surgical removal of the tumour is the only radical treatment.
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