Abstract
Ectopic pancreas is defined by the presence of abnormally situated pancreatic tissue
that lacks contact with normal pancreas and possesses its own duct system and vascular
supply. Ectopic pancreas in the gastrointestinal tract is not uncommon. Moreover,
there are several reported cases of adult ectopic pancreatitis in the literature,
but to date, only two cases of pediatric ectopic pancreatitis have been reported.
We describe a 15-year-old female with acute right upper quadrant pain and elevated
serum lipase and amylase, in whom the radiological diagnosis was mesenteric soft tissue
mass with adjacent inflammatory changes. The surgical pathology diagnosis, however,
was mesenteric ectopic pancreas complicated by pancreatitis. We advocate for ectopic
pancreatitis to be considered in a pediatric patient with acute abdominal pain, laboratory
findings consistent with pancreatitis, and imaging findings of a mesenteric mass and
normal orthotopic pancreas.
Key words
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References
- Heterotopic pancreas: review of a 26 year experience.Am J Surg. 1986; 151: 697-700
- Ectopic pancreas in the stomach presenting as an inflammatory abdominal mass.Am J Gastroenterol. 1989; 84: 663-666
- A clinical and radiologic review of uncommon types and causes of pancreatitis.Radiographics. 2009; 29: 1003-1026
- Ectopic pancreas complicated by pancreatitis and pseudocyst formation mimicking jejunal diverticulitis.Br J Radiol. 1997; 70: 311-313
- Heterotopic pancreas in the stomach: CT findings.Radiology. 2000; 217: 139-144
- Recurrent ectopic pancreatitis of the jejunum and mesentery over a 30-year period.Hepatobiliary Pancreat Dis Int. 2011; 10: 218-220
- MR cholangiopancreatography in the detection of symptomatic ectopic pancreatitis in the small-bowel mesentery.AJR Am J Roentgenol. 2006; 187: W195-W197
- A rare cause of acute abdominal pain: mesenteric heterotopic pancreas complicated by acute pancreatitis.Gastroenterol Clin Biol. 2000; 24: 370-371
- An unusual cause of acute abdomen: mesenteric heterotopic pancreatitis causing confusion in clinical diagnosis.Turk J Gastroenterol. 2009; 20: 142-145
- Pancreatic heterotopia as a cause of an acute abdomen.Clin Pediatr (Phila). 1986; 25: 466-468
- Ectopic pancreas with acute inflammation.J Pediatr Surg. 1982; 17: 86-87
- Adenocarcinoma arising from an ectopic pancreas in the stomach.Endoscopy. 2002; 34: 1014-1017
- Bowel obstruction: evaluation with CT.Radiology. 1991; 180: 313-318
- CT appearance of ectopic pancreas: a case report.Abdom Imaging. 1998; 23: 332-333
- Heterotopic pancreas mimicking cholangiocarcinoma. Case report and literature review.JOP. J Pancreas. 2007; 8: 28-34
Article info
Publication history
Accepted:
October 31,
2012
Received in revised form:
October 31,
2012
Received:
July 12,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
