| Recurrent ectopic pancreatitis of the jejunum and mesentery over a 30-year period. | |
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MedLine Citation:
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PMID: 21459732 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Ectopic pancreas is defined as pancreatic tissue found outside its usual anatomical position, with no ductal or vascular communication with the native pancreas. We describe a case of ectopic pancreas of the small bowel and mesentery causing recurrent episodes of pancreatitis, initially suspected on computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP), and confirmed on histological review of the resection. METHODS: A 67-year-old woman presented with clinical symptoms and biochemical evidence of pancreatitis. She had similar episodes over the past 30 years with unrevealing investigations, and was concluded to have idiopathic pancreatitis. She underwent CT and MRCP, with findings suggestive of ectopic pancreas, a diagnosis confirmed on histology of the resection. RESULTS: MRCP identified a mass in the proximal small bowel mesentery isointense to the native pancreas, with a small duct draining into a proximal jejunal loop. The resected specimen consisted of normal parenchyma with lobulated acinar tissue with scattered islets of Langerhans, an occasional ductular structure, and admixed areas of adipose tissue. The patient remained asymptomatic with normal biochemistry six months post-operatively. CONCLUSION: In an individual with abdominal pain, elevated serum amylase/lipase, but imaging findings of a normal native pancreas, ectopic pancreatitis should be considered, and can be evaluated by CT and MRCP. |
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Authors:
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John Ct Wong; Charlotte Robinson; Edward C Jones; Alison Harris; Charles Zwirewich; Robert Wakefield; Richard K Simons; Eric M Yoshida |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hepatobiliary & pancreatic diseases international : HBPD INT Volume: 10 ISSN: 1499-3872 ISO Abbreviation: HBPD INT Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-04-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101151457 Medline TA: Hepatobiliary Pancreat Dis Int Country: China |
Other Details:
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Languages: eng Pagination: 218-20 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology, Department of Medicine, University of British Columbia, 5th Floor Gordon and Leslie Diamond Health Care Center, 5153-2775 Laurel Street, Vancouver, British Columbia, Canada. eric.yoshida@vch.ca. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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