Heterotopic Pancreas in the Stomach (Type II According to Heinrich) - Literature Review and Case Report

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Heterotopic Pancreas in the Stomach (Type II According to Heinrich) - Literature Review and Case Report

Heterotopic pancreas is a rare congenital disorder characterized by the presence of normal pancreatic tissue located outside the pancreas. The most common locations include the duodenum, stomach, and jejunum. Most cases of heterotopic pancreas are asymptomatic. However, the development of clinical symptoms depends on the size, location and pathological changes similar to those observed in case of the normal pancreas. The Authors presented a case of multiple stomach heterotopic pancreatic lesions in an adult male patient. The atypical clinical presentation including non-specific endoscopic and CT images were responsible for the misdiagnosis before surgery. The patient underwent surgery. The tumor located in the posterior wall of the body of the stomach was excised by wedge resection. The postoperative course proved uneventful. Proper diagnosis was established on the basis of the histopathological examination of the resected tumor: heterotopic pancreas-multiple lesions, type II, according to Heinrich. The presented case report demonstrated that heterotopic pancreas should always be considered in the differential diagnosis of gastric tumors.

Jiang LX, Xu J, Wang XW, et al.: Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review. World J Gastroenterol 2008; 14: 6757-59.

Yuan Z, Chen J, Zheng Q, et al.: Heterotopic pancreas in the gastrointestinal tract. World J Gastroenterol 2009; 15: 3701-03.

De' Angelis GL, Del Rossi C, Romanini E, et al.: The aberrant pancreas in the pediatric age group: case report and review of the literature. Pediatr Surg Int 1992; 2: 214-15.

Klob J: Pancreas accessorium. Zeitschrift der Kaiserl. Königl. Gesellschaft der Aerzte zu Wien 1859; 15: 732.

Layghlin EH, Keown ME, Jackson JE: Heterotopic pancreas obstructing the ampulla of Vater. Arch Surg 1983; 118: 979-80.

Weppner JL, Wilson MR, Ricca R, et al.: Heterotopic pancreatic tissue obstructing the gallbladder neck: a case report. JOP. J Pancreas (Online) 2009; 10: 532-34.

Hazzan D, Peer G, Shiloni E: Symptomatic pancreas of stomach. Isr Med Assoc J 2002; 4: 388-89.

Arkuszewski P, Holyński J, Mussur M, et al.: A symptomatic ectopic pancreas in the stomach - a case report. Pol Merkur Lekarski. 2009; 26: 493-95.

Barbosa H, Dockerty MB, Waugh JM: Pancreatic heterotopia: review of literature and report of 41 authenticated surgical cases, of which 25 were clinically significant. Surg Gynecol Obstet 1946; 82: 527-42.

Gokhale UA, Nanda A, Pillai R, et al.: Heterotopic pancreas in the stomach: a case report and a brief review of the literature. JOP J Pancreas (Online) 2010; 11: 255-57.

Feldman M, Weinberg T: Aberrant pancreas: A cause of duodenal syndrome. J Am Med Assoc 1952; 148: 893-98.

Gurocak B, Gorkturk HS, Kayacetin S, et al.: A case of heterotopic pancreas in the stomach which caused closed perforation. Neth J Med 2009; 67: 285-87.

Christodoulidis G, Zacharoulis D, Barbanis S, et al.: Heterotopic pancreas in the stomach: A case report and literature review. World J Gastroenterol 2007; 13: 6098-6100.

Inoue Y, Hayashi M, Arisaki Y, et al.: Adenocarcinoma arising in a heterotopic pancreas (Heinrich type III): a case report. J Med Case Reports 2010; 4: 39-43.

Burrocas A, Fontenelle L, Williams M: Gastric heterotopic pancreas: a case report and review of literature. Am Surg 1973; 5: 361-65.

Rubbia-Brandt L, Huber O, Hadengue A, et al.: An unusual case of gastric heterotopic pancreas. JOP J Pancreas (Online) 2004; 5: 484-87.

Seneviratne SA, Ramanayaka IT, Sanarasekara DN: Heterotopic pancreas in the body of stomach. Ceylon Med J 2009; 54(2): 57-88.

Agale SV, Agale VG, Zode PR, et al.: Heterotopic pancreas involving stomach and duodenum. J Assoc Physicians India 2009; 57: 653-57.

Cho JS, Shin KS, Kwon ST, et al.: Heterotopic pancreas in the stomach: CT findings. Radiology 2000; 217: 139-44.

Von Heinrich H: Ein beitrag zur histologie des sogen: akzessorischen pancreas. Virchows Arch A Pathol Anat Histopathol 1909; 198: 392-401.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information

CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207


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