Heterotopic pancreas in gastric antrum with macroscopic appearance of gastric polyp

Heterotopic pancreas is a relatively rare clinical diagnosis, not commonly involved in differential diagnostic considerations of GI symptoms. The authors report a case of heterotopic pancreas discovered endoscopically in the gastric antrum. A 60-year-old woman presented with epigastric pain. The pat...

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Bibliographic Details
Published inBratislavské lékarské listy Vol. 103; no. 3; p. 117
Main Authors Hlavaty, T, Lukac, L, Vyskocil, M, Galbavy, S
Format Journal Article
LanguageEnglish
Published Slovakia 2002
Subjects
Choristoma - complications
Choristoma - diagnosis
Female
Helicobacter Infections - complications
Helicobacter Infections - diagnosis
Helicobacter pylori
Humans
Middle Aged
Pancreas
Polyps - complications
Polyps - diagnosis
Pyloric Antrum
Stomach Diseases - complications
Stomach Diseases - diagnosis
Stomach Neoplasms - complications
Stomach Neoplasms - diagnosis
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Summary:Heterotopic pancreas is a relatively rare clinical diagnosis, not commonly involved in differential diagnostic considerations of GI symptoms. The authors report a case of heterotopic pancreas discovered endoscopically in the gastric antrum. A 60-year-old woman presented with epigastric pain. The patient took alendronate for osteoporosis. The endoscopic examination revealed Helicobacter pylori positive antral atrophic gastropathy and a well delineated hemispherical polyp, 8 mm in diameter, in the antrum of the stomach. Histology showed antral gastritis and the presence of heterotopic pancreas. After dietary measures and Helicobacter eradication, the patient was relieved of symptoms. According to the authors' opinion, the finding of heterotopic pancreas did not necessitate intervention, and was an incidental finding. The authors discuss the significance of heterotopic pancreas with the conclusion that the resection of the lesion is indicated only if consistent symptoms are present. Fig. 3, Ref. 28.)
ISSN:0006-9248