Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acute Pancreatitis Occurring in Gastric Aberrant Pancreas Treated with Surgery and Proved by Histological Examination
Shoji HIRASAKIMasahito TANIMIZUToshikazu MORIWAKIJunichirou NASU
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 11 Pages 1169-1173

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Abstract

We describe a case of gastric aberrant pancreas with acute pancreatitis. Barium meal examination, endoscopic examination and computed tomography of a 32-year-old man with abdominal pain revealed a submucosal tumor, about 3.5 cm in diameter, at the angulus of his stomach. Endoscopic ultrasonography revealed a hypoechoic mass with anechoic capillary areas. His serum amylase level was high at 262 IU/l. Laparoscopy-assisted local resection was carried out. The resected tumor revealed pancreatic tissue with extensive neutrophil infiltration in the gastric wall and fat necrosis in the subserosa. There are few cases of histologically proven acute pancreatitis in gastric aberrant pancreatic tissue.

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© 2005 by The Japanese Society of Internal Medicine
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