A Case of Gastric Aberrant Pancreas with a Wall Abscess Treated by Laparoscopy-assisted Distal Gastrectomy

Abstract

A 48-year-old woman was referred to our hospital with the chief complaint of unbearable upper abdominal pain. Abdominal contrast-enhanced computed tomography showed a gastric wall abscess and possible minor gastric perforation. After conservative treatment, upper gastrointestinal endoscopy raised suspicion of a gastric aberrant pancreas with a wall abscess. However, the location was close to the pylorus, and the border of the abscess was unclear. Therefore, laparoscopy-assisted distal gastrectomy was performed. The postoperative pathological diagnosis was a wall abscess in an aberrant pancreas. Laparoscopy-assisted distal gastrectomy can be a feasible treatment for a symptomatic aberrant pancreas close to the pyloric ring.