scholarly journals A Case of Heterotopic Pancreatic Tissue Discovered in the Distal Esophagus

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Dema Shamoon ◽  
Vanessa Sostre ◽  
Varun Patel ◽  
Ariy Volfson
Keyword(s):  
Proton Pump Inhibitor ◽  
Congenital Abnormality ◽  
Medical Literature ◽  
Pancreatic Tissue ◽  
Distal Esophagus ◽  
Proximal Jejunum ◽  
Simple Observation ◽  
Asymptomatic Patients ◽  
Abdominal Operations ◽  
Ectopic Pancreatic Tissue

Heterotopic pancreas (HP) is a congenital abnormality that represents ectopic pancreatic tissue that does not have anatomic, vascular, or ductal continuity. The prevalence of HP is 0.55% to 13.7% on autopsy, 0.2% to 0.5% of abdominal operations, and 0.9% of gastrectomies. It is commonly found in the stomach, duodenum, and proximal jejunum. Only 15 cases have been reported in the medical literature regarding involvement of the esophagus. Treatment depends on symptoms and location. In asymptomatic patients, simple observation may be sufficient; however, in those who are symptomatic, surgery may be warranted. We present a case of a 70-year-old male with heartburn, nausea, and abdominal bloating who underwent a diagnostic esophagogastroduodenoscopy (EGD) and was found to have HP on histology in the distal esophagus. In our case, symptoms were treated conservatively and successfully with a proton pump inhibitor (PPI).

scholarly journals A141 SPONTANEOUS ESOPHAGEAL PERFORATION: AN UNREPORTED COMPLICATION OF LYMPHOCYTIC ESOPHAGITIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 128-129
Author(s):  
A LAGROTTERIA ◽  
A W Collins ◽  
A Someili ◽  
N Narula
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Esophageal Perforation ◽  
Distal Esophagus ◽  
Chest Discomfort ◽  
History Of ◽  
Lymphocytic Esophagitis

Abstract Background Lymphocytic esophagitis is a new and rare clinicopathological entity. It is a histological pattern characterized by lymphocytic infiltrate without granulocytes. Its etiology and clinical significance remains unclear. The clinical manifestations are typically mild, with reflux and dysphagia the most commonly reported symptoms. Aims We describe a case report of spontaneous esophageal perforation associated with lymphocytic esophagitis. Methods Case report Results A previously well 31-year-old male presented to the emergency department with acute food impaction. His antecedent symptoms were acute chest discomfort and continuous odynophagia following his most recent meal, with persistent globus sensation. The patient had no reported history of allergies, atopy, rhinitis, or asthma. A previous history of non-progressive dysphagia was noted after resuscitation. Emergent endoscopy revealed no food bolus, but a deep 6 cm mucosal tear in the upper-mid esophagus extending 24 to 30 cm from the incisors. Chest computed tomography observed small volume pneumoperitoneum consistent with esophageal perforation. The patient’s recovery was uneventful; he was managed conservatively with broad-spectrum antibiotics, proton pump inhibitor therapy, and a soft-textured diet. Endoscopy was repeated 48 hours later and revealed considerable healing with only a residual 3-4cm linear laceration. Histology of biopsies taken from the mid and distal esophagus demonstrated marked infiltration of intraepithelial lymphocytes. There were no eosinophils or neutrophils identified, consistent with a diagnosis of lymphocytic esophagitis. Autoimmune indices including anti-nuclear antibodies and immunoglobulins were normal, ruling out a contributory autoimmune or connective tissue process. The patient was maintained on a proton pump inhibitor (pantoprazole 40 mg once daily) following discharge. Nearly six months following his presentation, the patient had a recurrence of symptoms prompting representation to the emergency department. He described acute onset chest discomfort while eating turkey. Computed tomography of the chest redemonstrated circumferential intramural gas in the distal esophagus and proximal stomach. Conclusions Esophageal perforation is a potentially life-threatening manifestation of what had been considered and described as a relatively benign condition. From isolated dysphagia to transmural perforation, this case significantly expands our current understanding of the clinical spectrum of lymphocytic esophagitis. Funding Agencies None

scholarly journals Ectopic pancreatic tissue located in the subserosa of the jejunum: A case report

2013 ◽  
Vol 2 (6) ◽  
Author(s):  
C Barkolias ◽  
N Orfanos ◽  
V Kalles ◽  
G Georgiou ◽  
I Papapanagiotou ◽  
...  
Keyword(s):  
Case Report ◽  
Pancreatic Tissue ◽  
Ectopic Pancreatic Tissue

A retroperitoneal neuroendocrine tumor in ectopic pancreatic tissue

2013 ◽  
Vol 2 (3) ◽  
pp. 168 ◽  
Author(s):  
HusseinHassan Okasha ◽  
Fahim Al-Bassiouni ◽  
MonirAbo El-Ela ◽  
EmadHamza Al-Gemeie ◽  
Reem Ezzat
Keyword(s):  
Neuroendocrine Tumor ◽  
Pancreatic Tissue ◽  
Ectopic Pancreatic Tissue

scholarly journals Intramural ectopic pancreatic tissue of the stomach: A case report of an uncommon origin of a non-cancerous gastric tumour

2020 ◽  
Vol 73 ◽  
pp. 48-51 ◽  
Author(s):  
Enrica Chiriatti ◽  
Paulina Kuczma ◽  
Domenico Galasso ◽  
E. Koliakos ◽  
Edgardo Pezzetta ◽  
...  
Keyword(s):  
Case Report ◽  
Pancreatic Tissue ◽  
Gastric Tumour ◽  
Ectopic Pancreatic Tissue

scholarly journals Bruises around the umbilicus in an infant

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Sam Hassan ◽  
Ghassan Nakib ◽  
Mary J. Saviour
Keyword(s):  
Silver Nitrate ◽  
Topical Application ◽  
Congenital Abnormality ◽  
Surgical Intervention ◽  
Histopathological Examination ◽  
Pancreatic Tissue ◽  
Duct Cyst ◽  
Omphalomesenteric Duct ◽  
Common Causes ◽  
First Time

The most common causes of umbilical discharge in infancy are infection and umbilical granuloma that may be treated by antibiotics and topical application of silver nitrate subsequently. If the umbilical discharge persists or if there is any abnormal discoloration around the umbilicus, it is important to investigate for underlying congenital abnormality that may be cured by surgical intervention. Unusual presentation of omphalomesenteric duct cyst has been reported in literature. We report, for the first time as far as our search is concerned, a case of a 16-month-old infant who presented initially with persistent umbilical discharge and finally with bruising around the umbilicus in keeping with Cullen’s sign. A diagnosis of omphalomesenteric duct cyst containing pancreatic tissue was made on histopathological examination. This case emphasizes that, a persistent umbilical discharge and or discoloration around the umbilicus should be further investigated and an omphalomesenteric duct cyst can present as Cullen’s sign.

Ectopic Pancreatic Tissue Presenting as Submucosal Gastric Mass

2002 ◽  
Vol 12 (5) ◽  
pp. 333-338 ◽  
Author(s):  
Kristi L. Harold ◽  
Mark Sturdevant ◽  
Brent D. Matthews ◽  
Girish Mishra ◽  
B. Todd Heniford
Keyword(s):  
Pancreatic Tissue ◽  
Gastric Mass ◽  
Ectopic Pancreatic Tissue
Sign in / Sign up

Export Citation Format

Share Document