Acute Clinical Manifestation of Mesenteric Heterotopic Pancreatitis: A Pre- and Postoperative Confirmed Case.
Bente M de KokFleur I de KorteLars E PerkValeska TerpstraJ Sven D MieogFrank M ZijtaPublished in: Case reports in gastrointestinal medicine (2018)
Heterotopic pancreas is a relatively uncommon congenital anomaly, defined as pancreatic tissue in ectopic sites without an anatomic and vascular continuity with the main body of the pancreas. We report the case of a 58-year-old woman who was admitted to the hospital with the clinical suspicion of a mild, acute pancreatitis. Computed tomography, magnetic resonance imaging, transabdominal ultrasound, and endoscopic ultrasound revealed a normal orthotopic pancreas and the suspicion of a large heterotopic pancreas in the small bowel mesentery with signs of acute inflammation. The diagnosis of mesenteric heterotopic pancreatitis was preoperatively confirmed by endoscopic ultrasound-guided fine-needle aspiration and consequently histologically established after surgical resection.
Keyphrases
- ultrasound guided
- fine needle aspiration
- magnetic resonance imaging
- computed tomography
- liver failure
- small bowel
- respiratory failure
- healthcare
- oxidative stress
- drug induced
- aortic dissection
- positron emission tomography
- single cell
- patients undergoing
- emergency department
- contrast enhanced
- hepatitis b virus
- extracorporeal membrane oxygenation
- diffusion weighted imaging
- acute respiratory distress syndrome
- electronic health record