Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2024; 12(22): 5140-5144
Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.5140
Heterotopic pancreas in the gallbladder: A case report
Ting Wang, Jing Jiang, Ling-Ling Guo, Xu Chen, Er-Bao Chen
Ting Wang, Xu Chen, Er-Bao Chen, Department of Hepatobiliary and Pancreatic Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
Jing Jiang, Department of Pathology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
Ling-Ling Guo, Department of Radiation Oncology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
Author contributions: Wang T and Jiang J drafted and revised the manuscript; Guo LL and Chen X generated figures; Chen EB drafted, revised and approved the final manuscript; All authors have read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 82303446.
Informed consent statement: Written informed consent has been obtained from the patient for publication of this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Er-Bao Chen, MD, Doctor, Department of Hepatobiliary and Pancreatic Surgery, Peking University Shenzhen Hospital, No. 1120 Lianhua Road, Futian District, Shenzhen 518036, Guangdong Province, China. ebchen17@fudan.edu.cn
Received: February 22, 2024
Revised: May 19, 2024
Accepted: June 5, 2024
Published online: August 6, 2024
Processing time: 130 Days and 22.7 Hours
Abstract
BACKGROUND

Heterotopic pancreas (HP) refers to pancreatic tissue located in areas with no vascular or anatomical connection to the pancreas. HP occurs mostly in the stomach, duodenum, and colon, and rarely in the gallbladder.

CASE SUMMARY

A 57-year-old woman was referred to our hospital complaining of right upper quadrant discomfort for 3 years. An abdominal computed tomography scan revealed adenomyomatosis with a thickened fundus of the gallbladder. The patient underwent a laparoscopic cholecystectomy, and pathological examination unexpectedly showed heterotopic pancreatic tissue in the gallbladder. The patient had a favorable recovery and was discharged on postoperative day 3. She did not report any symptoms or complications at the 6-mo postoperative follow-up. Pathologists should pay close attention to such pancreatic tissue and carefully examine it for dysplasia or malignancy.

CONCLUSION

This case provides more information about HP in the gallbladder, a rare occurrence.

Keywords: Adenomyomatosis, Diagnosis, Heterotopic pancreas, Gallbladder, Case report

Core Tip: In this study, we report a rare case of heterotopic pancreatic tissue in the gallbladder. The patient was initially diagnosed with adenomyomatosis through a computed tomography scan. She underwent a laparoscopic cholecystectomy, and pathological examination revealed heterotopic pancreatic tissue in the gallbladder. Although the malignant transformation of heterotopic pancreatic tissue is rare, pathologists should be aware of this condition and carefully examine the tissue for dysplasia or malignancy.