| Title | Heterotopic pancreatic neoplasm presenting as an obstructing mass at the fourth portion of the duodenum. |
| Publication Type | Journal Article |
| Year of Publication | 2011 |
| Authors | Stock C, Keutgen XM, Pisapia D, Crawford C, Zarnegar R |
| Journal | JOP |
| Volume | 12 |
| Issue | 3 |
| Pagination | 241-3 |
| Date Published | 2011 May 06 |
| ISSN | 1590-8577 |
| Keywords | Adenocarcinoma, Aged, Choristoma, Diagnosis, Differential, Duodenal Neoplasms, Female, Humans, Mastectomy, Segmental, Pancreas, Treatment Outcome |
| Abstract | CONTEXT: Heterotopic pancreatic adenocarcinoma is a rare finding at laparotomy. Herein we present the case of a patient with malignant transformation of a heterotopic pancreas located in the fourth portion of the duodenum. CASE REPORT: A 79-year-old woman was admitted to the surgery service with complaints of early satiety and abdominal fullness progressively worsening over the previous two years. A computed tomography scan of the abdomen and an upper endoscopy revealed an obstructing mass in the fourth portion of the duodenum, biopsies were negative for carcinoma. A segmentectomy of the third and fourth portions of the duodenum was performed. Post-operative histology revealed malignant transformation of a heterotopic pancreas. The patient had an unremarkable postoperative recovery and was discharged home. CONCLUSION: In evaluation of patients with distal duodenal masses, we report that heterotopic pancreatic neoplasms should be considered in the differential diagnosis. |
| Alternate Journal | JOP |
| PubMed ID | 21546699 |
Related Faculty:
David Pisapia, M.D.