A case of gradually progressive, symptomatic, ectopic gastric pancreas

A 27-year-old man was admitted to a hospital with a complaint of epigastric discomfort. Upper gastrointestinal endoscopy and endoscopic ultrasonography revealed an elevated lesion on the posterior wall of the upper gastric body, and a diagnosis of ectopic gastric pancreas was made. Follow-up endosco...

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Bibliographic Details
Published inNippon Shōkakibyō Gakkai zasshi Vol. 110; no. 9; p. 1619
Main Authors Umakoshi, Michinobu, Matsutani, Takeshi, Suzuki, Seiji, Matsushita, Akira, Hirakata, Atsushi, Yoshida, Hiroshi, Hosone, Masaru, Uchida, Eiji
Format Journal Article
LanguageJapanese
Published Japan 01.09.2013
Subjects
Adult
Choristoma - pathology
Humans
Male
Pancreas
Stomach Diseases - pathology
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Summary:A 27-year-old man was admitted to a hospital with a complaint of epigastric discomfort. Upper gastrointestinal endoscopy and endoscopic ultrasonography revealed an elevated lesion on the posterior wall of the upper gastric body, and a diagnosis of ectopic gastric pancreas was made. Follow-up endoscopy performed 5 years later revealed an increase in the size of the mass to approximately 5cm in diameter. The location, shape, and clinical course of the mass aroused a suspicion of malignancy; therefore, partial gastrectomy was performed. Histopathologically, the resected mass was diagnosed as ectopic gastric pancreas with chronic inflammation, fibrosis, and bleeding around the acinar cells.
ISSN:0446-6586
DOI:10.11405/nisshoshi.110.1619