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Ectopic Gastric Submucosal Pancreatic Tissue

George H Sakorafas1, Michael G Sarr2
  1. Department of Surgery, 251 Hellenic Air Force Hospital. Athens, Greece
  2. Department of Surgery, Mayo Clinic. Rochester, MN, USA
Corresponding Author
George H Sakorafas
Arkadias 19-21 GR-115
26 Athens Greece
Phone +30-210.7487.318
Fax +30-210.7487.192
E-mail [email protected]
Received: 11 September 2003 Accepted: 30 September, 2003
 
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Keywords

Abnormalities; Anatomy; Case Report; Diagnostic Imaging; Histology; Pancreas
A 37-year-old woman was found to have a submucosal mass in the gastric antrum. She presented with recurrent episodes of right upper quadrant pain. Evaluation included a normal abdominal ultrasonography and esophagogastroduodenoscopy, which revealed a benign appearing 1 cm sessile polypoid mass in the gastric antrum (Image 1). The gastric mucosa over the mass was normal both visually and histopathologically on biopsies. Endoscopic ultrasonography revealed a 1x0.5 cm submucosal mass (Image 2). The patient strongly desired having this removed and, therefore, was operated with the presumed diagnosis of a gastric leiomyoma. The mass, easily identified at surgery, was removed through a gastrotomy. Histology revealed ectopic pancreatic tissue within the gastric submucosa.
While this is not an uncommon finding on the serosa of the small bowel (Image 3), a submucosal pancreatic rest is quite unusual [1, 2, 3].

Figures at a glance

Figure 1 Figure 2 Figure 3
Figure 1 Figure 2 Figure 3

References


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