| Two Cases of Ectopic Pancreas Located the in the Pyloric Region |
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Jeong Won Shin1, Jae Hong Yu1, Ji Young Sul2, Jin Man Kim3 |
1Department of Pediatrics, College of Medicine, Chungnam National University, Daejon, Korea
2Department of General Surgery, College of Medicine, Chungnam National University, Daejon, Korea
3Department of Pathology, College of Medicine, Chungnam National University, Daejon, Korea |
| 유문부에 발생한 이소성 췌장 2례 |
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신정원1, 유재홍1, 설지영2, 김진만3 |
1충남대학교 의과대학 소아과학교실
2충남대학교 의과대학 일반외과학교실
3충남대학교 의과대학 해부병리학교실 |
Correspondence:
Jae Hong Yu, Email: jhongyu@cuvic.cnu.ac.kr
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| Abstract |
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Ectopic pancreas is defined as being the presence of pancreatic tissue outside its usual or habitual location and without anatomic relation either of continuity or of vascularization with the pancreatic proper. The most common developing sites are the stomach(especially greater curvature of antrum), duodenum and proximal jejunum. Most lesions do not cause any clinical symptoms, but sometimes nonspecific significant symptoms appear. We report 2 cases of ectopic pancreas located in the pyloric region in a 13 year-old girl and a 12 year-old boy who had symptoms of epigastric pain, nausea, vomiting and dyspepsia. Gastrofiberscopy revealed 2 cm sized submucosal mass with double circular folds and 0.8 cm sized submucosal polypoid mass with central umbilication in the posterior wall of the pyloric region respectively. Wedge resections were performed, although the 12 year-old boy required a second operation due to pyloric obstruction. Histologic findings showed pancreatic acini and Langerhan`s islet within gastric submucosa and muscle layer, and pancreatic
acini and duct within gastric submucosa layer respectively. Symptoms disappeared after complete removal of the ectopic pancreas by operation. |
| Key Words:
Ectopic pancreas, Pyloric region |
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