Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding
https://doi.org/10.22416/1382-4376-2020-30-4-65-69
Abstract
Aim: Clinical description of an ectopic pancreas (EP) in the duodenal wall.
Key points: Aberrant or ectopic pancreas is a congenital abnormality of pancreatic heterotopy into unrelated organs with no connection to the true pancreas. Asymptomatic EP often leads to its casual diagnosis due to background complications or concomitant gastrointestinal disorders. A 57 years-old patient was urgently admitted to a surgery unit with signs of gastrointestinal bleeding. Esophagogastroduodenoscopy (EGD), colonoscopy, abdominal CT without intravenous contrast failed to diagnose the source of bleeding. Following two months, MRI scanning with contrast revealed an atypical lateral formation on descending duodenum with the lobulous contour and structure corresponding to normal pancreatic tissue, as well as signs of chronic pancreatitis and a solitary cyst in the pancreatic body. EP in duodenal wall was diagnosed as a putative cause of gastric bleeding.
Conclusion. In this clinical observation, duodenal haemorrhage is reported as a manifestation of previously asymptomatic aberrant pancreas. Capacity of MRI in EP diagnosis has been demonstrated.About the Authors
O. V. Khlynova
E.A. Wagner Perm State Medical University
Russian Federation
Russian Federation
Olga V. Khlynova — Dr. Sci. (Med.), Prof., Corresponding Member of the Russian Academy of Sciences, Head of the Chair of Hospital Therapy and Cardiology, E.A. Wagner Perm State Medical University.
614990, Perm, Petropavlovskaya str., 26.
L. G. Girfanova
“Kabinet doktora Girfanovoy” Medical Centre LLC
Russian Federation
Russian Federation
Liliya G. Girfanova — Gastroenterologist, “Kabinet doktora Girfanovoy” Medical Centre LLC; Non-staff Lecturer, Perm Institute for Advanced Training in Healthcare.
614015, Perm, Lenina str., 10.
A. A. Cheremin
“Klinika Ekspert” LLC
Russian Federation
Russian Federation
Artem A. Cheremin — Physician (X-ray), “Klinika Ekspert” LLC.
354340, Sochi, Kirova str., 50.
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Review
For citations:
Khlynova O.V., Girfanova L.G., Cheremin A.A. Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2020;30(4):65-69. (In Russ.) https://doi.org/10.22416/1382-4376-2020-30-4-65-69
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