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Mohamed H, Dorra B, Hela B, Cherif A, Azza S, Karim S, Khadija B, Adnen C. [Pancreatic serous cystadenoma associated with pancreatic heterotopia]. Pan Afr Med J 2016; 23:94. [PMID: 27231505 PMCID: PMC4867731 DOI: 10.11604/pamj.2016.23.94.8533] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Accepted: 01/14/2016] [Indexed: 11/17/2022] Open
Abstract
Les hétérotopies pancréatiques (HP) sont rares. Elles peuvent se voir à tout âge avec une légère prédominance masculine. ces lésions sont le plus souvent asymptomatiques, de découverte fortuite lors d'une endoscopie digestive haute ou basse ou lors de l'examen anatomopathologique d'un organe réséqué pour d'autres motifs, et peuvent être isolée ou associée à une pathologie digestive. Nous rapportons, à travers notre observation, l'association d'une HP à un cystadénome séreux du pancréas découverte lors de l'exploration des douleurs épigastriques isolées. A travers cette observation nous nous proposons d’étudier les particularités cliniques et histologiques de cette pathologie rare.
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Affiliation(s)
- Hedfi Mohamed
- Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie
| | | | - Bouhafa Hela
- Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie
| | | | - Sridi Azza
- Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie
| | - Sassi Karim
- Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie
| | - Bellil Khadija
- Service Anatomie Pathologique Hôpital des FSI La Marsa, Tunisie
| | - Chouchene Adnen
- Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie
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Hétérotopie pancréatique : une cause inhabituelle d’hémorragie digestive haute. Presse Med 2015; 44:368-9. [DOI: 10.1016/j.lpm.2014.05.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Revised: 05/14/2014] [Accepted: 05/27/2014] [Indexed: 11/20/2022] Open
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Lee YT, Lin H, Guo JC, Yan SL, Hou HJ, Lai YS, Liu YH, Wu HS, Hwang MH. Laparoscopy-assisted billroth I gastrectomy for ectopic pancreas in the prepyloric region. Case Rep Gastroenterol 2012; 6:712-9. [PMID: 23185154 PMCID: PMC3506063 DOI: 10.1159/000345388] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Ectopic pancreatic tissue is an uncommon developmental anomaly. The condition mostly occurs in the gastrointestinal tract and is usually asymptomatic. It rarely causes symptoms of inflammation, bleeding and perforation, and has potential for malignant change. Though it is an uncommon condition, cases of ectopic pancreas have been reported worldwide. Preoperative diagnosis of ectopic pancreas is challenging because of its nonspecific symptoms and signs. Owing to the revolution of minimally invasive surgery, submucosal tumors of the stomach can be resected by laparoscopic techniques. We have earlier reported on a case of ectopic pancreas in the stomach treated by robotics-assisted laparoscopic wedge resection. Herein, we report a case of ectopic pancreas in the prepyloric region of the stomach. A 44-year-old female presented with a two-week history of epigastralgia with radiation to the back. She received endoscopy check-up which disclosed a mass in the stomach. By endoscopic findings, a submucosal lesion in the prepyloric region with umbilical folding on the mucosa was identified. The umbilical folding on the mucosa hint the orifice of the duct of ectopic pancreas into the gastric mucosa suggestive of ectopic pancreas. Contrast-enhanced abdominal computed tomography showed a 5 cm cystic mass with heterogeneous content. To sum it up, the patient was diagnosed as ectopic pancreas in the stomach. She underwent laparoscopy-assisted antrectomy with Billroth I anastomosis (excision of the antrum and prepyloric region with reconstruction of gastrointestinal continuity by gastroduodenostomy) and had an uneventful hospitalization course. The histopathology of the resected tumor demonstrated ectopic pancreatic tissue in the gastric wall. To the best of our knowledge, excision of gastric ectopic pancreas using laparoscopy-assisted antrectomy with Billroth I anastomosis has never been reported in the literature.
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Affiliation(s)
- Yueh-Tsung Lee
- Department of Surgery, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
- Department of Life Sciences, National Chung-Hsing University, Taichung, Taiwan
- Asian IRCAD (Research Institute against Cancer of the Digestive Tract, Asian Institute of TeleSurgery in Taiwan), Lugang, Taiwan
| | - Ho Lin
- Department of Life Sciences, National Chung-Hsing University, Taichung, Taiwan
- Department of Urology, University of Texas Southwestern Medical Center, Dallas, Tex., USA
| | - Jen-Chang Guo
- Department of Pathology, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
| | - Sheng-Lei Yan
- Department of Gastroenterology, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
- Asian IRCAD (Research Institute against Cancer of the Digestive Tract, Asian Institute of TeleSurgery in Taiwan), Lugang, Taiwan
| | - Hsiang-Jen Hou
- Department of Surgery, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
- Asian IRCAD (Research Institute against Cancer of the Digestive Tract, Asian Institute of TeleSurgery in Taiwan), Lugang, Taiwan
| | - Yih-Shyong Lai
- Department of Pathology, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
| | - Yi-Hsiang Liu
- Department of Pathology, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
| | - Hurng-Sheng Wu
- Department of Surgery, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
- Asian IRCAD (Research Institute against Cancer of the Digestive Tract, Asian Institute of TeleSurgery in Taiwan), Lugang, Taiwan
| | - Min-Ho Hwang
- Department of Surgery, Chang-Bing Show Chwan Memorial Hospital, Lugang, Taiwan
- Asian IRCAD (Research Institute against Cancer of the Digestive Tract, Asian Institute of TeleSurgery in Taiwan), Lugang, Taiwan
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Ly M, Just PA, Lefèvre M, Méatchi T, Callard P. [Pancreatic heterotopia in the rectum]. GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE 2009; 33:225-226. [PMID: 19243905 DOI: 10.1016/j.gcb.2008.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2008] [Revised: 11/24/2008] [Accepted: 12/18/2008] [Indexed: 05/27/2023]
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