Heterotopic pancreas in the stomach which caused obstructive stenosis in the duodenum.
The patient, a 43-year-old Japanese man suffering from duodenal ulcer and reflux esophagitis, was admitted to our hospital because of submucosal tumor in the antrum and obstructive stenosis of duodenum. Several imaging tests could not rule out the possibility of malignant disease. Therefore, the patient was surgically treated. Pathohistological examination of resected tissue demonstrated Heinrich type I heterotopic pancreas in the gastric lesion and submucosal abscess in the duodenal lesion with stenosis. In this case, it was considered that the heterotopic pancreas caused chronic inflammation to form the gastric tumor, and submucosal abscess leading to the severe duodenal stenosis.
Kobayashi
Shinya
S
Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences, Nagoya.
Okayama
Yasutaka
Y
Hayashi
Kazuki
K
Sano
Hitoshi
H
Shiraki
Shigehiro
S
Goto
Kazuo
K
Ohara
Hirotaka
H
Joh
Takashi
T
D000038:Abscess / Q000209:etiology; D000328:Adult; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D003251:Constriction, Pathologic; D003937:Diagnosis, Differential; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications; D005743:Gastrectomy / Q000379:methods; D005756:Gastritis / Q000209:etiology; D005764:Gastroesophageal Reflux / Q000150:complications; D006801:Humans; D008297:Male; D010179:Pancreas; D013272:Stomach Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D013274:Stomach Neoplasms / Q000175:diagnosis; D014057:Tomography, X-Ray Computed