Cystic dystrophy in heterotopic pancreas of the duodenal wall: medical and surgical treatment.
A patient with cystic dystrophy in heterotopic pancreatic tissue, localized in the second duodenum, is described. Diagnosis was assessed by computed tomography, endosonography and magnetic nuclear resonance (MNR). Medical treatment with octreotid during three weeks was effective but duodenal stenosis persisted. Finally, pylorus preserving pancreaticoduodenectomy was performed. Microscopy examination confirmed the diagnosis and the efficiency of medical treatment. A review of the literature about cystic dystrophy is done.
Rubay
R
R
Department of Surgery, Clinique Notre-Dame de Grâce, Gosselies, Belgium.
Bonnet
D
D
Gohy
P
P
Laka
A
A
Deltour
D
D
D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D002828:Choristoma / Q000473:pathology / Q000628:therapy*; D004378:Duodenal Diseases / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015282:Octreotide / Q000627:therapeutic use; D010179:Pancreas / Q000473:pathology*; D016577:Pancreaticoduodenectomy
D018931:Antineoplastic Agents, Hormonal; D015282:Octreotide