Pseudoquiste pancreático intramural gástrico en páncreas heterotópico, una causa infrecuente de retención gástrica. Caso clínico

Date

2018

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Article

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Abstract

Heterotopic pancreas is a silent gastrointestinal malformation that may become clinically evident when complicated by inflammation and pseudocyst formation. We report a 26 year-old male presenting with vomiting, pain and abdominal distention. An abdominal CT scan showed an important gastric distention secondary to a 4-cm cystic lesion located in the antrum wall. An endosonography showed that the lesion obstructed the gastric outlet and was compatible with a pseudocyst. A cysto-gastrostomy was performed draining the cyst. Its high lipase and amylase content confirmed that it was a pancreatic pseudocyst. Six months later, the lesion appeared again and a subtotal gastrectomy was performed Histopathology confirmed ectopic pancreatic tissue.

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Citation

Schiappacasse Giancarlo, Villacrés Fabián, Cavalla Cristián, Orellana Franco, Gallardo Alejandra, Charles Roberto. Gastric intramural pseudocyst in a heterotopic pancreas causing gastric outlet obstruction. Report of one case. Rev. méd. Chile [Internet]. 2018 Aug [cited 2022 May 26] ; 146( 8 ): 933-937. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800933&lng=en. http://dx.doi.org/10.4067/s0034-98872018000800933.

Keywords

Gastric Outlet Obstruction, Pancreas, Pancreatic Pseudocyst

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