Abstract
We report herein a rare case of malignant transformation of aberrant pancreas in the stomach, associated with gastric outlet obstruction. A 58-year-old woman was admitted to our hospital, complaining of vomiting. Although barium meal examination and gastric endoscopy showed marked pyloric stenosis, the biopsy specimen obtained from the stenotic site revealed regenerative mucosa without malignancy. Abdominal computed tomography and endoscopic ultrasono-graphy (EUS) also could not detect the cause of the obstruction. Histopathological examination of the surgically resected specimen showed the malignant transformation of aberrant pancreas in the stomach. It should be noted that one of the causes of gastric outlet obstruction may be aberrant pancreas or its malignant transformation.
Similar content being viewed by others
References
JJ De Castro Barbosa MB Dockerty JM Waugh (1946) ArticleTitlePancreatic heterotopia: review of the literature and report of 41 authenticated surgical cases, of which 25 were clinically significant Surg Gynecol Obstet 82 527–42
M Feldman T Weinberg (1952) ArticleTitleAberrant pancreas: a cause of duodenal syndrome JAMA 148 893–8
H von Heinrich (1909) ArticleTitleEin Beitrag zur Histologie des sogen akzessorischen Pankreas Virchows Archiv Pathol Arat Bd 198 392–401
WB Goldfarb D Bennett W Monafo (1963) ArticleTitleCarcinoma in heterotopic gastric pancreas Ann Surg 158 56–8 Occurrence Handle14042636
A Tanimura H Yamamoto H Shibata E Sano (1979) ArticleTitleCarcinoma in heterotopic gastric pancreas Acta Pathol Jpn 29 251–7 Occurrence Handle552797
DM Hickman CF Frey JW Carson (1981) ArticleTitleAdenocarcinoma arising in gastric heterotopic pancreas West J Med 135 57–62 Occurrence Handle7257381
KS Jeng KC Yang SH Kuo (1991) ArticleTitleMalignant degeneration of heterotopic pancreas Gastrointest Endosc 37 196–8 Occurrence Handle2032610
L Guillou P Nordback C Gerber RP Schneider (1994) ArticleTitleDuctal adenocarcinoma arising in a heterotopic pancreas situated in a hiatal hernia Arch Pathol Lab Med 118 568–71 Occurrence Handle8192567
G Herold K Kraft (1995) ArticleTitleAdenocarcinoma arising from ectopic gastric pancreas: two case reports with a review of the literature Z Gastroenterol 33 260–4 Occurrence Handle7610694
H Ura R Denno K Hirata A Saeki K Hirata H Natori (1998) ArticleTitleCarcinoma arising from ectopic pancreas in the stomach: endosonographic detection of malignant change J Clin Ultrasound 26 265–8 Occurrence Handle9608371
M Osanai N Miyokawa T Tamaki M Yonekawa A Kawamura N Sawada (2001) ArticleTitleAdenocarcinoma arising in gastric heterotopic pancreas: clinicopathological and immunohistochemical study with genetic analysis of a case Pathol Int 51 549–54 Occurrence Handle11472568
HY Jeong HW Yang SW Seo JK Seong BK Na BS Lee et al. (2002) ArticleTitleAdenocarcinoma arising from an ectopic pancreas in the stomach Endoscopy 34 1014–7 Occurrence Handle12471549
JS Cho KS Shin ST Kwon JW Kim CJ Song SM Noh et al. (2000) ArticleTitleHeterotopic pancreas in the stomach: CT findings Radiology 217 139–44 Occurrence Handle11012436
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Matsuki, M., Gouda, Y., Ando, T. et al. Adenocarcinoma arising from aberrant pancreas in the stomach. J Gastroenterol 40, 652–656 (2005). https://doi.org/10.1007/s00535-004-1601-9
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00535-004-1601-9