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Heterotopic Pancreas: Unusual Cause of Usual Diarrhoea

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Abstract

Heterotopic pancreas (HP) also known as ectopic pancreas, pancreatic crest or accessory pancreas is the normal pancreatic tissue, found in a remote area other than its natural location, with no anatomic or vascular connection to main pancreatic tissue. It is a rare congenital anomaly and has been reported at many locations such as stomach (antrum) and small intestine. HP is usually an incidental finding and asymptomatic, however there are reports of pancreatitis, obstruction, perforation and malignant transformation as uncommon manifestations. Diagnosis of HP is primarily based on histological examination either by biopsy or surgical excision. Surgery is the standard treatment for symptomatic HP patients. Herein, we present a case of a 58-year-old female, who presented to us with intractable diarrhoea due to HP in the jejunum and underwent minimally invasive surgery for definitive diagnosis and treatment.

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Abbreviations

HP:

Heterotopic Pancreas

CECT:

Contrast Enhanced Computed Tomography

SSTR:

Somatostatin Receptor

MRCP:

Magnetic Resonance Cholangio Pancreatography

MRI:

Magnetic Resonance Imaging

GIST:

Gastro Intestinal Stromal Tumour

NET:

Neuro Endocrine Tumour

PRRT:

Peptide Receptor Radionuclide Therapy

TKI:

Tyrosine Kinase Inhibitor

H&E:

Haematoxylin and Eosin

5-HIAA- 5:

Hydroxy Indole Acetic Acid

SUV:

Standard Uptake Value

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Acknowledgements

Dr Shweta Harwani, Consultant Pathologist, Apollo Hospital, Navi Mumbai.

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Authors and Affiliations

  1. Department of Surgical Oncology, Apollo Hospital, Navi Mumbai, 400614, India

    V. Murali, Deep Mashru, N. Bharavi & Monika Pohekar

  2. GI Surgical Oncology, Apollo Hospital, Navi Mumbai, India

    Rajesh S. Shinde

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  1. V. Murali
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  2. Deep Mashru
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  3. N. Bharavi
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  4. Monika Pohekar
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Contributions

Murali V- Data acquisition, primary manuscript drafting.

Deep Mashru- manuscript review and editing.

Bharavi N- manuscript review and editing.

Monika Pohekar- revising the manuscript critically.

Rajesh S Shinde- conception and design, finalisation of manuscript.

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Correspondence to Rajesh S. Shinde.

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Murali, V., Mashru, D., Bharavi, N. et al. Heterotopic Pancreas: Unusual Cause of Usual Diarrhoea. Indian J Surg Oncol (2024). https://doi.org/10.1007/s13193-024-01943-9

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