2019 Volume 61 Issue 7 Pages 1401-1407
A case of symptomatic gastric aberrant pancreas with recurrent inflammation treated by laparoscopy and endoscopy cooperative surgery (LECS) is herein reported. A 31-year-old woman was referred to our hospital with the chief complaint of repeated occurrence and disappearance of upper abdominal pain. Upper gastrointestinal endoscopy showed a submucosal tumor of 25 mm in diameter at the greater curvature of the upper gastric body. Aspiration cytodiagnosis was performed, the results of which led to a suspicion of gastric aberrant pancreas. Next, we conducted LECS for the symptomatic tumor. On histological examination, the tumor was composed of pancreatic tissue from the submucosa to the muscularis propria, and it was diagnosed as gastric aberrant pancreas. She was discharged six days after the surgery with an uneventful clinical course and has been symptom-free thereafter. LECS can be a feasible treatment for symptomatic gastric aberrant pancreas, because the procedure enabled us to maintain minimal invasiveness with limited removal of the stomach wall.
