JCIS

Journal of Clinical and Investigative Surgery
ISSN: 2559-5555

DPSM
 

Heterotopic pancreatic tissue of the stomach leading to gastric diverticulum and upper gastro-intestinal bleeding

Silviu Stoian1, Florinel Pop1,2, Victor D. Strîmbu1,2

1Carol Davila Hospital, Department of General Surgery, Bucharest, Romania
2Carol Davila University, Faculty of General Medicine, Bucharest, Romania


J Clin Invest Surg. 2016; 1(2): 79-83. DOI: 10.25083/2559.5555.12.7983
Running title: Gastric diverticulum with heterotopic pancreas inclusion
Keywords: diverticulum, gastric, pancreatic, bleeding


Abstract

Heterotopic pancreatic tissue of the stomach is a rare condition. Gastric diverticulum is also a rare condition, mostly located at the fornix. Therefore, the existence of a pyloric gastric diverticulum containing a submucosal tumor proved to be heterotopic pancreatic tissue of the stomach is an extremely rare condition. The patient was a young thin male with epigastralgia chronically treated for gastritis/ulcer.

Following an episode of melena, he underwent gastroscopy that diagnosed antral gastric diverticulum containing a polyp. The lesion was surgically removed. The pathology report stated: heterotopic pancreatic tissue of the stomach with secondary development of a traction diverticulum.

Heterotopic pancreas tissue of the stomach is a rare condition but the association with gastric diverticulum is completely unusual. The possibility of the ectopic tissue leading to secondary diverticulum development should be considered.

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