Heterotopic Pancreas: Report of Two Cases with Unique Presentation and Review of Literature

Asian Journal of Pharmaceutical and Health Sciences,2014,4,4,1107-1109.
Published:November 2014
Type:Case Report
Authors:
Author(s) affiliations:

Soumya Kundu1*, Priya Ranjan Chattopadhayay2, Aditi Bhattacharyya3, Kunal Sanyal4

1Demonstrator, Department of Pathology, Midnapore Medical College, Medinipur, West Bengal, India.

2Assistant Professor, Department of Pathology, Midnapore Medical College, Medinipur, West Bengal, India.

3Associate Professor, Department of Pathology, Midnapore Medical College, Medinipur, West Bengal, India.

4Associate Professor, Department of Surgery, Midnapore Medical College, Medinipur, West Bengal, India.

Abstract:

Heterotopic pancreas (HP) is defined as the presence of pancreatic tissue outside its normal location, lacking ductal or vascular continuity with the main gland. Though pancreatic heterotopia is usually incidental, it may become clinically evident when complicated by pathological changes such as inflammation, bleeding, obstruction. In this report of two cases, a 42-year female with chronic cholecystitis with mural heterotopic pancreatic tissue is described, along with a 35-year female with abdominal pain caused by heterotopic pancreatic tissue located in proximal jejunum. In majority of reported cases, HP has been found in stomach, duodenum, upper jejunum, whereas its presence in the gallbladder is very rare. Awareness of this condition may provide insights on its clinical significance

Ultrasonographic examination of the whole abdomen showed no abnormality.