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Eur J Pediatr Surg 2012; 22(02): 165-167
DOI: 10.1055/s-0031-1285921
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Gastric Outlet Obstruction Caused by Heterotopic Pancreatitis

C. Matissek
1   Städtisches Klinikum Muenchen GmbH, Klinikum Schwabing, Kinderchirurgie, Muenchen, Germany
,
H. Grundhuber
1   Städtisches Klinikum Muenchen GmbH, Klinikum Schwabing, Kinderchirurgie, Muenchen, Germany
,
M. Steinborn
2   Städtisches Klinikum Muenchen GmbH, Klinikum Schwabing, Institut für Diagnostische und Interventionelle Radiologie, Muenchen, Germany
,
S. Hosie
1   Städtisches Klinikum Muenchen GmbH, Klinikum Schwabing, Kinderchirurgie, Muenchen, Germany
› Author Affiliations
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Publication History

25 January 2011

16 July 2011

Publication Date:
29 September 2011 (online)

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Introduction

Heterotopic pancreas is defined as the presence of pancreatic tissue outside its normal location in the pancreas and lacking vascular and anatomical continuity with the pancreas. Most commonly it is found along foregut derivatives, such as the stomach, duodenum and jejunum. Less often it is found in Meckel's diverticulum and the bile duct or in even rarer locations. It is frequently encountered incidentally in asymptomatic patients during laparotomy, and is found in approximately 0.5–14% of autopsy studies.[1] Symptomatic patients are rare and do not exhibit any specific set of clinical indicators for this disease. Accordingly, heterotopic pancreas is difficult to diagnose before operation.[2] In our case, a 15-year-old girl presented with a short history of vomiting, weight loss, lack of appetite and upper gastrointestinal bleeding. Laparotomy revealed heterotopic pancreas at the duodenum with signs of inflammation and mucosal ulceration.

 

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