Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding
Aim: Clinical description of an ectopic pancreas (EP) in the duodenal wall.Key points: Aberrant or ectopic pancreas is a congenital abnormality of pancreatic heterotopy into unrelated organs with no connection to the true pancreas. Asymptomatic EP often leads to its casual diagnosis due to backgroun...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2020-09-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/485 |
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| _version_ | 1823860124421193728 |
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| author | O. V. Khlynova L. G. Girfanova A. A. Cheremin |
| author_facet | O. V. Khlynova L. G. Girfanova A. A. Cheremin |
| author_sort | O. V. Khlynova |
| collection | DOAJ |
| description | Aim: Clinical description of an ectopic pancreas (EP) in the duodenal wall.Key points: Aberrant or ectopic pancreas is a congenital abnormality of pancreatic heterotopy into unrelated organs with no connection to the true pancreas. Asymptomatic EP often leads to its casual diagnosis due to background complications or concomitant gastrointestinal disorders. A 57 years-old patient was urgently admitted to a surgery unit with signs of gastrointestinal bleeding. Esophagogastroduodenoscopy (EGD), colonoscopy, abdominal CT without intravenous contrast failed to diagnose the source of bleeding. Following two months, MRI scanning with contrast revealed an atypical lateral formation on descending duodenum with the lobulous contour and structure corresponding to normal pancreatic tissue, as well as signs of chronic pancreatitis and a solitary cyst in the pancreatic body. EP in duodenal wall was diagnosed as a putative cause of gastric bleeding.Conclusion. In this clinical observation, duodenal haemorrhage is reported as a manifestation of previously asymptomatic aberrant pancreas. Capacity of MRI in EP diagnosis has been demonstrated. |
| format | Article |
| id | doaj-art-44dfc6985e1648a5a78849587d610a33 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2020-09-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-44dfc6985e1648a5a78849587d610a332025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-09-01304656910.22416/1382-4376-2020-30-4-65-69380Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal BleedingO. V. Khlynova0L. G. Girfanova1A. A. Cheremin2E.A. Wagner Perm State Medical University“Kabinet doktora Girfanovoy” Medical Centre LLC“Klinika Ekspert” LLCAim: Clinical description of an ectopic pancreas (EP) in the duodenal wall.Key points: Aberrant or ectopic pancreas is a congenital abnormality of pancreatic heterotopy into unrelated organs with no connection to the true pancreas. Asymptomatic EP often leads to its casual diagnosis due to background complications or concomitant gastrointestinal disorders. A 57 years-old patient was urgently admitted to a surgery unit with signs of gastrointestinal bleeding. Esophagogastroduodenoscopy (EGD), colonoscopy, abdominal CT without intravenous contrast failed to diagnose the source of bleeding. Following two months, MRI scanning with contrast revealed an atypical lateral formation on descending duodenum with the lobulous contour and structure corresponding to normal pancreatic tissue, as well as signs of chronic pancreatitis and a solitary cyst in the pancreatic body. EP in duodenal wall was diagnosed as a putative cause of gastric bleeding.Conclusion. In this clinical observation, duodenal haemorrhage is reported as a manifestation of previously asymptomatic aberrant pancreas. Capacity of MRI in EP diagnosis has been demonstrated.https://www.gastro-j.ru/jour/article/view/485ectopic pancreasgastrointestinal bleedingmagnetic resonance imaging |
| spellingShingle | O. V. Khlynova L. G. Girfanova A. A. Cheremin Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding Российский журнал гастроэнтерологии, гепатологии, колопроктологии ectopic pancreas gastrointestinal bleeding magnetic resonance imaging |
| title | Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding |
| title_full | Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding |
| title_fullStr | Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding |
| title_full_unstemmed | Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding |
| title_short | Ectopic Pancreas in Duodenal Wall Putatively Causal for Gastrointestinal Bleeding |
| title_sort | ectopic pancreas in duodenal wall putatively causal for gastrointestinal bleeding |
| topic | ectopic pancreas gastrointestinal bleeding magnetic resonance imaging |
| url | https://www.gastro-j.ru/jour/article/view/485 |
| work_keys_str_mv | AT ovkhlynova ectopicpancreasinduodenalwallputativelycausalforgastrointestinalbleeding AT lggirfanova ectopicpancreasinduodenalwallputativelycausalforgastrointestinalbleeding AT aacheremin ectopicpancreasinduodenalwallputativelycausalforgastrointestinalbleeding |