Heterotopic pancreas in excluded stomach diagnosed after gastric bypass surgery

BMC Surgery

Case Report

Marta Guimarães¹  Pedro Rodrigues¹  Mário Nora¹  Gil Gonçalves¹  Mariana P Monteiro² 

[1] Department of General Surgery, Hospital de São Sebastião, Santa Maria da Feira, Portugal;Endocrinology Unit of Hospital São Sebastião, Hospital de São Sebastião, Santa Maria da Feira, Portugal;Department of Anatomy, Multidisciplinary Unit for Biomedical Research (UMIB), ICBAS, University of Porto, Porto, Portugal;

关键词: Heterotopic pancreas;    Gastric bypass;    Excluded stomach;    Incretins;   

DOI  :  10.1186/1471-2482-13-56

 received in 2013-08-07, accepted in 2013-11-13,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundHeterotopic pancreas is defined as finding of pancreatic tissue without anatomic and vascular continuity with the normal pancreas. Heterotopic pancreas is a rare condition difficult to diagnose and with controversial clinical management.Case presentationWe describe a 43 year old female patient previously submitted to laparoscopic gastric bypass for primary treatment of morbid obesity; 5 years later, the patient was discovered to have a mass in the antrum of the excluded stomach that was found to be heterotopic pancreatic tissue. Before gastric bypass surgery, the presence of the pancreatic mass in the gastric wall was unnoticed in the imagiologic records.ConclusionThis is the first reported case of pancreatic heterotopy diagnosed in the excluded stomach after gastric bypass. A putative role of incretin hormones in mediating pancreatic cell hyperplasia of heterotopic pancreatic remnants should be considered an additional hypothesis that requires further research.

【 授权许可】

Unknown   
© Guimarães et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.