Esophageal heterotopic pancreas presenting as an inflammatory mass.
A 47-year-old female presented with complaints of epigastric pain, poor appetite, and dysphagia. Abdominal CT and esophagogastroduodenoscopy revealed a 9-cm mass extrinsic to the distal esophagus. Esophagogastrectomy was performed. The distal esophagus contained multiple foci of heterotopic pancreatic tissue. There was associated inflammation and fat necrosis in the surrounding periesophageal soft tissue. Heterotopic pancreas is uncommon in the esophagus, with only a few reports appearing in the English literature. The clinical features of heterotopic pancreas, and the pathophysiology of the associated inflammatory lesion is discussed.
Noffsinger
A E
AE
Department of Pathology and Laboratory Medicine, University of Cincinnati College of Medicine, Ohio 45267-0529, USA.
Hyams
D M
DM
Fenoglio-Preiser
C M
CM
D002828:Choristoma / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006104:Granuloma, Plasma Cell / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D010179:Pancreas