Abstract
JEJUNUMDA HETEROTOPİK PANKREAS; BİR OLGU SUNUMU
ÖZET: Heterotopik pankreas, pankreas dokusunun normal anatomik lokalizasyon dışında iyi gelişmiş pankreas dokusunun bulunmasıdır. En sık mide ve duodenum olmak üzere çeşitli abdominal organlarda heterotopik yerleşim bulunmaktadır. Jejunum lokalizasyonu nadir olup genellikle küçük boyutlarda olur. Çoğunlukla asemptomatik olan heterotopik pankreas genellikle olgumuzda olduğu gibi insidental olarak tespit edilir. Bu makalede peptik ülser komplikasyonu olarak gelişmiş pilor stenozuna bağlı üst gastrointestinal sistem (GİS) obstrüksiyonu nedeniyle opere olan ve jejunumda insidental olarak tespit edilen heterotopik pankreas olgusunu lezyonun nadir lokalizasyonu nedeniyle sunmayı amaçladık.
Anahtar Kelimeler: Heterotopik pankreas, jejunum, gastrointestinal sistem obstrüksiyonu
HETEROTOPIC PANCREAS IN JEJUNUM; A CASE REPORT
ABSTRACT: Heterotopic pancreas is identified as the existance of well developed pancreatic tissue in the abnormal anatomical localization. Stomach and duodenum are the most common localizations. Jejunum is a rare localization for heterotopic pancreas and its diameter is usually small in this localization. Heterotopic pancreas is usually asymphtomatic and it is usually incidentally found as in this case. In this case report we are presenting a heterotopic pancreas in jejunum, which is found incidentally in an operation performed for pylor stenosis complication developed due to a peptic ulcus in stomach.
Key Words: Heterotopic pancreas, jejunum, gastrointestinal tract obstruction
Keywords
References
- Tanaka K, Tsunodo T, Eto T, Yamada M, Tajima Y, Shimogama H, et al. Diagnosis and management of heterotopic pancreas. Int Surg 1993; 78: 32-5.
- Monig SP, Selzener M, Raab M, Eidt S. Heterotopic pancreas. A difficult diagnosis. Dig Dis Sci 1996; 41: 1238-40.
- Ueno S, Ishida H, Hayashi A, Kamagata S, Morikawa M. Heterotopic pancreas as a rare cause of gastrointestinal hemorrhage in the newborn: report of case. Surg Today 1993; 23: 269-72.
- Steyaert H, Voigt JJ, Brouet P, Vaysee P. Uncommon complication of gastric dublication in a three year old child. Eur J Pediatr Surg 1997; 7: 243-4.
- Cheeseman MT, Kelly DF, Birnie ED. Heterotopic pancreas at a site of colon stricture and ulceration in a guinea pig. Lab Anim 1998; 32: 219-22.
- Inceoðlu R, Dosluoðlu HH, Kullu S, Ahiskali R, Doslu FA. An unusual cause of hydropic gallbladder and biliary colicheterotopic pancreatic tissue in the cystic duct: report of a case and review of the literature. Surg Today 1993; 6: 532- 4.
- Mboti F, Maassarani F, De Keulencer R. Cholecysitis associated with heterotopic pancreas. Acta Chir Belg 2003; 103: 110-2.
- The Pediatric Clinics of North America. In: Emanuel Lebenthal editor: Pancreatic Diseases in children Philadelphia: WB Saunders. 1996; p; 125-50.
- Cankorkmaz L, Atalar MH, Müslehiddinoðlu A, et al. Ektopik Pankreas Dokusunun Sebep Olduðu Bir Ýnvajinasyon: Olgu Sunumu. C. Ü. Týp Fakültesi Dergisi 2005; 27: 129-32.
- Goto J, Ohashi S, Okamura S, et al. Heterotopic pancreas in the esophagus diagnosed by EUS- guided FNA. 2005; 62: 812-4.
- Jovanovic I, Knezevic S, Micev M, et al. EUS mini probes in diagnosis of cystic dystrophy of duodenal wall in heterotopic pancreas: a case report. World J Gastroenterol 2004; 10: 2609-12.
- Huang YC, Chen HM, Jan YY, et al. Ectopic pancreas with gastric outlet obstruction: report of two cases and literature review. Chang Gung Med J 2002; 25: 485-90.
- Riyaz A, Cohen H. Ectopic pancreas presenting as a submucosal gastric antral tumor that was cystic on EUS. Gastrointest Endosc. 2001; 53: 675-77.
- Makhlouf HR, Almedia JL, Sobin LH. Carsinoma in jejunal pancreatic heterotopia. Arch Pathol Lab Med 1999; 23: 707-11.
- Çýralýk H, Bülbüloðlu E, Kantarçeken B, et al. Adenokarsinomla Birlikte Ektopik Pankreas: Bir Olgu Sunumu. Týp Araþtýrmalarý Dergisi. 2005; 3: 41-3.
- Klimstra DS, Hruban RH, Pitman MB. Pancreas in Histology for Pathologists. Mills SE ed. Philadelphia: 3rd ed. Lippincott, Williams and Wilkins 2007; 723-760.
Abstract
References
- Tanaka K, Tsunodo T, Eto T, Yamada M, Tajima Y, Shimogama H, et al. Diagnosis and management of heterotopic pancreas. Int Surg 1993; 78: 32-5.
- Monig SP, Selzener M, Raab M, Eidt S. Heterotopic pancreas. A difficult diagnosis. Dig Dis Sci 1996; 41: 1238-40.
- Ueno S, Ishida H, Hayashi A, Kamagata S, Morikawa M. Heterotopic pancreas as a rare cause of gastrointestinal hemorrhage in the newborn: report of case. Surg Today 1993; 23: 269-72.
- Steyaert H, Voigt JJ, Brouet P, Vaysee P. Uncommon complication of gastric dublication in a three year old child. Eur J Pediatr Surg 1997; 7: 243-4.
- Cheeseman MT, Kelly DF, Birnie ED. Heterotopic pancreas at a site of colon stricture and ulceration in a guinea pig. Lab Anim 1998; 32: 219-22.
- Inceoðlu R, Dosluoðlu HH, Kullu S, Ahiskali R, Doslu FA. An unusual cause of hydropic gallbladder and biliary colicheterotopic pancreatic tissue in the cystic duct: report of a case and review of the literature. Surg Today 1993; 6: 532- 4.
- Mboti F, Maassarani F, De Keulencer R. Cholecysitis associated with heterotopic pancreas. Acta Chir Belg 2003; 103: 110-2.
- The Pediatric Clinics of North America. In: Emanuel Lebenthal editor: Pancreatic Diseases in children Philadelphia: WB Saunders. 1996; p; 125-50.
- Cankorkmaz L, Atalar MH, Müslehiddinoðlu A, et al. Ektopik Pankreas Dokusunun Sebep Olduðu Bir Ýnvajinasyon: Olgu Sunumu. C. Ü. Týp Fakültesi Dergisi 2005; 27: 129-32.
- Goto J, Ohashi S, Okamura S, et al. Heterotopic pancreas in the esophagus diagnosed by EUS- guided FNA. 2005; 62: 812-4.
- Jovanovic I, Knezevic S, Micev M, et al. EUS mini probes in diagnosis of cystic dystrophy of duodenal wall in heterotopic pancreas: a case report. World J Gastroenterol 2004; 10: 2609-12.
- Huang YC, Chen HM, Jan YY, et al. Ectopic pancreas with gastric outlet obstruction: report of two cases and literature review. Chang Gung Med J 2002; 25: 485-90.
- Riyaz A, Cohen H. Ectopic pancreas presenting as a submucosal gastric antral tumor that was cystic on EUS. Gastrointest Endosc. 2001; 53: 675-77.
- Makhlouf HR, Almedia JL, Sobin LH. Carsinoma in jejunal pancreatic heterotopia. Arch Pathol Lab Med 1999; 23: 707-11.
- Çýralýk H, Bülbüloðlu E, Kantarçeken B, et al. Adenokarsinomla Birlikte Ektopik Pankreas: Bir Olgu Sunumu. Týp Araþtýrmalarý Dergisi. 2005; 3: 41-3.
- Klimstra DS, Hruban RH, Pitman MB. Pancreas in Histology for Pathologists. Mills SE ed. Philadelphia: 3rd ed. Lippincott, Williams and Wilkins 2007; 723-760.
Details
| Primary Language | English |
|---|---|
| Journal Section | Olgu Sunumları |
| Authors | |
| Publication Date | September 30, 2011 |
| Submission Date | December 3, 2009 |
| Published in Issue | Year 2011 Volume: 18 Issue: 3 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.