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Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus

The ectopic pancreas is a relatively rare congenital condition, defined as pancreatic tissue lacking anatomical or vascular continuity with the normal pancreatic body. The ectopic pancreas is most frequently found in the stomach, usually asymptomatic and discovered incidentally. We report the case o...

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Autores principales: Sato, Shota, Shoji, Tuyoshi, Sato, Hiroshi, Maruo, Hirotoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247485/
https://www.ncbi.nlm.nih.gov/pubmed/35949236
http://dx.doi.org/10.1159/000525072
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author Sato, Shota
Shoji, Tuyoshi
Sato, Hiroshi
Maruo, Hirotoshi
author_facet Sato, Shota
Shoji, Tuyoshi
Sato, Hiroshi
Maruo, Hirotoshi
author_sort Sato, Shota
collection PubMed
description The ectopic pancreas is a relatively rare congenital condition, defined as pancreatic tissue lacking anatomical or vascular continuity with the normal pancreatic body. The ectopic pancreas is most frequently found in the stomach, usually asymptomatic and discovered incidentally. We report the case of a 72-year-old man who was diagnosed with cancer in the gastric vestibule. Distal gastrectomy was performed, and 3 cm of the ectopic pancreas was found on the anterior surface of the pylorus intraoperatively. The gastroduodenal artery was not found by approaching the inferior border of the pancreas but by following the branches from the common hepatic artery. Posterior view CT confirmed that the GDA terminated in the ectopic pancreas. An ectopic pancreas may be associated with vascular anomalies. Clinicians must consider the possibility of vascular anomalies when operating on patients with an ectopic pancreas. If the gastroduodenal artery cannot be found intraoperatively, identification should be attempted by following the common hepatic artery.
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spelling pubmed-92474852022-08-09 Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus Sato, Shota Shoji, Tuyoshi Sato, Hiroshi Maruo, Hirotoshi Case Rep Gastroenterol Single Case The ectopic pancreas is a relatively rare congenital condition, defined as pancreatic tissue lacking anatomical or vascular continuity with the normal pancreatic body. The ectopic pancreas is most frequently found in the stomach, usually asymptomatic and discovered incidentally. We report the case of a 72-year-old man who was diagnosed with cancer in the gastric vestibule. Distal gastrectomy was performed, and 3 cm of the ectopic pancreas was found on the anterior surface of the pylorus intraoperatively. The gastroduodenal artery was not found by approaching the inferior border of the pancreas but by following the branches from the common hepatic artery. Posterior view CT confirmed that the GDA terminated in the ectopic pancreas. An ectopic pancreas may be associated with vascular anomalies. Clinicians must consider the possibility of vascular anomalies when operating on patients with an ectopic pancreas. If the gastroduodenal artery cannot be found intraoperatively, identification should be attempted by following the common hepatic artery. S. Karger AG 2022-06-13 /pmc/articles/PMC9247485/ /pubmed/35949236 http://dx.doi.org/10.1159/000525072 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Sato, Shota
Shoji, Tuyoshi
Sato, Hiroshi
Maruo, Hirotoshi
Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
title Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
title_full Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
title_fullStr Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
title_full_unstemmed Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
title_short Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
title_sort vascular anomaly associated with ectopic pancreas in the pylorus
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247485/
https://www.ncbi.nlm.nih.gov/pubmed/35949236
http://dx.doi.org/10.1159/000525072
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