Zhang H, Zhao HY, Zhang FH, Liang W. Gastric and intestinal ectopic pancreas: Two case reports. World J Clin Cases 2023; 11(29): 7221-7226 [PMID: 37946777 DOI: 10.12998/wjcc.v11.i29.7221]
Corresponding Author of This Article
Wei Liang, MD, Chief Physician, Department of General Surgery, Hebei General Hospital, No. 348 Heping West Road, Xinhua District, Shijiazhuang 050051, Hebei Province, China. 13831192284@139.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Huan Zhang, Hong-Yu Zhao, Feng-Hua Zhang, Wei Liang, Department of General Surgery, Hebei General Hospital, Shijiazhuang 050051, Hebei Province, China
Author contributions: Zhang H, Liang W contributed to conceptualization and design; Zhang H, Zhao HY contributed to drafting the manuscript; Zhang FH, Zhao HY contributed to the acquisition, analysis and interpretation of data; Zhang H, Liang W, Zhao HY contributed to the critical revision of the manuscript’s important intellectual content; All authors contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
Informed consent statement: Informed written consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Liang, MD, Chief Physician, Department of General Surgery, Hebei General Hospital, No. 348 Heping West Road, Xinhua District, Shijiazhuang 050051, Hebei Province, China. 13831192284@139.com
Received: August 8, 2023 Peer-review started: August 8, 2023 First decision: August 30, 2023 Revised: September 11, 2023 Accepted: September 18, 2023 Article in press: September 18, 2023 Published online: October 16, 2023 Processing time: 66 Days and 8.7 Hours
Abstract
BACKGROUND
Ectopic pancreas may be unfamiliar to many people because it is rare and difficult to diagnose. However, this disease is highly susceptible to misdiagnosis and missed diagnosis. In this article, we report two cases of pancreatic heterotopia in the gastric sinus and small intestine, respectively, both of which were confirmed by histopathological examination.
CASE SUMMARY
The first patient was a 43-year-old female which reported abdominal distension for 2 mo. The second was a 67-year-old female who experienced intermittent epigastric discomfort for 15 d. In both cases, there was no confirmed preoperative examination, and the postoperative pathology indicated the presence of ectopic pancreas.
CONCLUSION
The diagnosis of ectopic pancreas is difficult, and is often prone to misdiagnosis and the possibility of being overlooked. Various laboratory tests and imaging tests should be carefully evaluated before surgery to achieve early detection, early diagnosis and early treatment.
Core Tip: Ectopic pancreas is rare, is usually clinically asymptomatic, and lacks a specific clinical presentation. Therefore, ectopic pancreas is often missed and misdiagnosed in clinical practice. This article reports the diagnosis and treatment process of two cases of ectopic pancreas in our hospital, to increase awareness regarding the occurrence of ectopic pancreas and provide guidance for making the correct diagnosis in a timely manner.
