(Journal Article): An Unusual Case of Gastric Heterotopic Pancreas
 
Rubbia-Brandt L, Huber O, Hadengue A, Frossard JL (Division of Clinical Pathology, Clinic of Digestive Surgery, and Division of Gastroenterology and Hepatology, Geneva University Hospitals. Geneva, Switzerland, jean-louis.frossard@hcuge.ch )
 
IN: JOP. J Pancreas (Online) 2004; 05(6):484-487

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ABSTRACT: CONTEXT: Submucosal lesions of the gastrointestinal tract represent a diagnostic challenge for the physician. Endoscopic ultrasonography may provide useful information before deciding on therapeutic strategy. CASE REPORT: We report on a case of a young female presenting with a large gastric submucosal mass, 32 mm in size. Endoscopic ultrasonography identified a non-homogeneous lesion, with three cystic spaces suggesting a degenerated gastrointestinal stromal tumor. An exploratory laparoscopy was performed. Surprisingly, the final diagnosis was gastric heterotopic pancreas. CONCLUSION: Heterotopic pancreas should always be kept in mind when facing extramucosal gastric masses, especially in young people. A perioperative biopsy is recommended to prevent unnecessary extensive surgery.

TYPE OF PUBLICATION: Case Report