title: Heterotopic Pancreas Presented as Duodenal Tumor with Obstruction.
abstract: Heterotopic pancreas (HP) is defined as pancreatic tissue lacking anatomic and vascular continuity with the main body of the pancreas. Most are asymptomatic, but can cause ulcer, bleeding, intussusception, and mechanical obstruction. Herein, we presented one case of HP presented as duodenal tumor causing duodenal obstruction. A 7-year-old girl visited the emergency room for abdominal pain with vomiting for 24 hours. Computed tomography and upper gastrointestinal series revealed a polypoid mass with short stalk in the 2nd portion of duodenum. We attempted an endoscopic removal. However, the lumen was nearly obstructed by the mass and the stalk was too broad and hard to excise. The mass was surgically removed via duodenotomy. It was confirmed as a HP with ductal and acini components (type 2 by Heinrich classification). Postoperatively, the patient has been well without any complication and recurrence.
authors.affiliation: Department of Surgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Sung Heun
authors.initials: SH
authors.lastname: Kim
authors.affiliation: Department of Surgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea.
authors.forename: So Hyun
authors.initials: SH
authors.lastname: Nam
keywords: Duodenal neoplasms; Duodenal obstruction; Heterotopic pancreas; Pancreas