Giant heterotopic pancreas presenting with massive upper gastrointestinal bleeding.
Heterotopic pancreas, or pancreatic rest, refers to extra-pancreatic tissue without an obvious vascular or anatomic connection with the pancreas. Although the frequency of heterotopic pancreatic tissue in autopsy series has been reported as high as 14%, clinical manifestations are rare [2]. Although common in the upper gastrointestinal tract, heterotopic pancreatic tissue rarely causes gastrointestinal bleeding. In a large case series following patients with heterotopic pancreatic tissue, only 7 of 212 patients had any evidence of bleeding [3]. We present a patient who presented with massive hematochezia found to have a giant heterotopic pancreas in the duodenum.
Wall
Ian
I
Division of Gastroenterology, Department of Medicine, Maimonides Medical Center Brooklyn, New York, NY 11219, USA.
Shah
Tejal
T
Tangorra
Matthew
M
Li
Jian Jun
JJ
Tenner
Scott
S
D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010179:Pancreas