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Date Published: 08/07/2022
Online Published: 08/07/2022
Abstract Views: 226
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DOI: https://doi.org/10.55046/vjrnm.31.560.2018
Issue
No. 31 (2018)
Section
Scientific research
How to Cite
Mai, V. H., Ngo, L. lam, Vu, D. L., Pham, M. T., Do, M. C., & Vu, T. N. (2022). Ectopic pancreas in the wall of intestine complicated with necrotic and inflamed intestine: A case report and review literature. Vietnamese Journal of Radiology and Nuclear Medicine, 31, 107-111. https://doi.org/10.55046/vjrnm.31.560.2018

Ectopic pancreas in the wall of intestine complicated with necrotic and inflamed intestine: A case report and review literature

Dr Mai Van Hai1, Dr Ngo Le Lam2, Dr Vu Dang Luu2, professor Pham Minh Thong2, Dr Do Manh Cuong3, Dr Vu Thi Nhung3
1 Resident Doctor - Hanoi Medical University
2 Department of Diagnostic Imaging, Bach Mai Hospital
3 Department of Pathology - Bach Mai Hospital

Main Article Content

Abstract

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 showed a 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

References

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