A gigantic ectopic pancreatic lesion in the upper body of the stomach

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Presentation transcript:

A gigantic ectopic pancreatic lesion in the upper body of the stomach Joo Hoon Kim, MD, Hyung Hun Kim, MD, Seun Ja Park, MD, Moo In Park, MD, Won Moon, MD, Sangeon Gwoo, MD, Ki Hwan Ku, MD Gastrointestinal Endoscopy Volume 75, Issue 2, Pages 462-463 (February 2012) DOI: 10.1016/j.gie.2011.10.019 Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Endoscopic findings. An approximately 7-cm lesion resembling an entangled tree root was observed on the anterior wall of the upper body of the stomach along the greater curvature (white arrowheads). The lesion occupied nearly two-thirds of the anterior wall of the body. Gastrointestinal Endoscopy 2012 75, 462-463DOI: (10.1016/j.gie.2011.10.019) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Radial endoscopic US findings (5 MHz). An approximately 5-cm (white dotted-line and white arrows), ill-defined, heterogeneous, hypoechoic lesion with anechoic spaces was observed. The lesion originated from the submucosal layer (third layer) and did not invade the mucosal layer. Gastrointestinal Endoscopy 2012 75, 462-463DOI: (10.1016/j.gie.2011.10.019) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 CT revealed an approximately 7-cm, low attenuation, longitudinal lesion with radiolucent internal components and rim enhancement in the gastric wall (black arrows). Gastrointestinal Endoscopy 2012 75, 462-463DOI: (10.1016/j.gie.2011.10.019) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Pathologic examination. Acini and ductal components were observed, suggesting ectopic pancreas (H&E, orig. mag. ×200). Gastrointestinal Endoscopy 2012 75, 462-463DOI: (10.1016/j.gie.2011.10.019) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions