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Ectopic pancreas in the wall of intestine complicated with necrotic and inflamed intestine: A case report and review literature
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Abstract
SUMMARY
Background: Ectopic pancreas is a rare congenital condition characterized by pancreatic tissues located outside normal of confines
of pancreas and lacking any anatomic or vascular connection with main pancreas. It can occur anywhere in the gastrointestinal tract but
rarely are found in small intestine. Its preoperative diagnosis is difficult because the clinical symptoms are often nonspecific.We introduce a case of ectopic pancreas in the intestinal wall complicated with necrotic
and inflamed intestine, which received a treatment by resection.
Case presentation: A 44 years old man attended to Bach Mai hospital due to acute abdominal pain in epigastrium as result of gastrointestinal perforation. Contrast enhanced computed tomography (CT) of abdomen showeda mesenteric mass surrounded by inflamed
fat in the left lower quadrant abdomen. In addition, CT images also suggested necrosis of the bowel wall next to the mass caused by
twisting the mesentery and mesenteric vessels (whirlpool sign). The patient underwent local surgical resection and following histology
revealed ectopic pancreatic tissues in the wall of intestine and necrosis of intestine.
Conclusion: Although ectopic pancreas is rare, it should be considered in the differential diagnosis of a mesenteric or intestinal mass surrounded by necrotic and inflamed intestine.
Article Details
Keywords
Ectopic pancreas, mesenteric mass, intestinal mass, whirlpool sign
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