Document Detail


An unusual cause of acute abdomen: mesenteric heterotopic pancreatitis causing confusion in clinical diagnosis.
MedLine Citation:
PMID:  19530049     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Heterotopic pancreas is defined as the presence of pancreatic tissue that lacks anatomic and vascular continuity with the main body of the pancreas. Frequent symptoms and signs are epigastric pain, abdominal fullness and tarry stools. The most frequent locations of heterotopic pancreas tissue are the stomach and jejunum; however, there are a few reported cases of heterotopic pancreas in the mesentery of the small intestine. Heterotopic pancreas may or may not cause complications related to the pathologic conditions of the pancreas itself. Here we present a case showing an unusual cause of acute abdomen, which caused confusion in the clinical diagnosis preoperatively. The definitive diagnosis was achieved only after histopathologic examination in the postoperative period. Final diagnosis of the patient was mesenteric heterotopic pancreatitis, which was a complication of heterotopic pancreas itself with a rarely seen location. In conclusion, mesenteric heterotopic pancreatitis is seen very rarely and may be an unusual cause of acute abdomen. If the pathologic condition develops in the heterotopic tissue, as in the case of heterotopic pancreas, signs and symptoms of the disease may cause confusion in the clinical diagnosis. We agree that preoperative diagnosis of heterotopic pancreas is still difficult, even in a symptomatic patient.
Authors:
Hakan Canbaz; Tahsin Colak; Duygu Düşmez Apa; Orhan Sezgin; Süha Aydin
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology     Volume:  20     ISSN:  1300-4948     ISO Abbreviation:  Turk J Gastroenterol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-16     Completed Date:  2009-09-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9515841     Medline TA:  Turk J Gastroenterol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  142-5     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Mersin University, School of Medicine, Mersin, Turkey. canbazhakan@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / diagnosis*,  surgery
Aged
Amylases / blood
Choristoma / diagnosis*,  surgery
Diagnosis, Differential
Female
Humans
Lipase / blood
Mesentery / pathology,  surgery,  ultrasonography*
Pancreas*
Pancreatitis / diagnosis*,  surgery
Ultrasonography
Chemical
Reg. No./Substance:
EC 3.1.1.3/Lipase; EC 3.2.1.-/Amylases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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