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Ectopic pancreas

From Wikipedia, the free encyclopedia
Growth of pancreatic tissue outside of the pancreas
Medical condition
Ectopic pancreas
Other namesHeterotopic pancreas,
Accessory pancreas,
Aberrant pancreas,
Pancreatic rest,
Myoepithelial hamartoma
Stomach biopsy with pancreatic heterotopia in the submucosa. H&E Stain.
SpecialtyGastroenterology
SymptomsOftenasymptomatic, may causeabdominal pain anddistension
Diagnostic methodBiopsy, histologic evaluation
Differential diagnosisGastrointestinal stromal tumor (GIST)[1]
TreatmentSurgery if symptomatic
MedicationNone
FrequencyUncommon[1]

Anectopic pancreas is ananatomical abnormality in whichpancreatic tissue has grown outside its normal location (ectopia) and withoutvascular or other anatomical connections to the pancreas.[2] It is adisease which iscongenital[2] and is also known as heterotopic, accessory, or aberrant pancreas.[3]

Signs and symptoms

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Often, heterotopic pancreas isasymptomatic. When present,symptoms may includeabdominal pain and distension.[1] Heterotopic pancreas is commonly recognized as anincidental finding on imaging studies performed for an unrelated reason.

Ectopic pancreatic tissue may occur anywhere in theabdominal cavity, though more than 90 percent are found in thestomach,

Pancreatic rest in gastric antrum

duodenum, orjejunum.[1] It usually appears as a smooth or umbilicated nodule. Rarely, pancreatic heterotopic tissue may be found in thecolon,spleen orliver.[1]

Diagnosis

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Thediagnosis of ectopic pancreas can be challenging. Confirmation of the diagnosis requires tissue sampling, viabiopsy orsurgical resection.

Treatment

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If no symptoms are present, thentreatment is not necessary. When symptoms are present, treatment consists ofsurgical resection.[1]

Epidemiology

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Theincidence of heterotopic pancreas is relatively low.[1]

References

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  1. ^abcdefgYuan, Z; Chen, J; Zheng, Q; Huang, XY; Yang, Z; Tang, J (7 August 2009)."Heterotopic pancreas in the gastrointestinal tract".World Journal of Gastroenterology.15 (29):3701–3.doi:10.3748/wjg.15.3701.PMC 2721251.PMID 19653355.
  2. ^abPerera, Eranga (26 April 2010)."Ectopic Pancreas". Imaging Science Today.Archived from the original on 25 November 2010.
  3. ^Kim, Ji Young; et al. (2009). "Ectopic Pancreas: CT Findings with Emphasis on Differentiation from Small Gastrointestinal Stromal Tumor and Leiomyoma".Radiology.252 (1). Radiological Society of North America:92–100.doi:10.1148/radiol.2521081441.PMID 19561251.

External links

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