1. [Gastric intramural pseudocyst in a heterotopic pancreas causing gastric outlet obstruction. Report of one case].
- Author
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Schiappacasse G, Villacrés F, Cavalla C, Orellana F, Gallardo A, and Charles R
- Subjects
- Adult, Endosonography, Gastric Outlet Obstruction etiology, Gastric Outlet Obstruction pathology, Gastrostomy, Humans, Male, Pancreatic Pseudocyst complications, Pancreatic Pseudocyst pathology, Tomography, X-Ray Computed, Gastric Outlet Obstruction diagnostic imaging, Pancreatic Pseudocyst diagnostic imaging
- Abstract
Heterotopic pancreas is a silent gastrointestinal malformation that may become clinically evident when complicated by inflammation and pseudocyst formation. We report a 26 year-old male presenting with vomiting, pain and abdominal distention. An abdominal CT scan showed an important gastric distention secondary to a 4-cm cystic lesion located in the antrum wall. An endosonography showed that the lesion obstructed the gastric outlet and was compatible with a pseudocyst. A cysto-gastrostomy was performed draining the cyst. Its high lipase and amylase content confirmed that it was a pancreatic pseudocyst. Six months later, the lesion appeared again and a subtotal gastrectomy was performed Histopathology confirmed ectopic pancreatic tissue.
- Published
- 2018
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