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

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Presentation on theme: "A gigantic ectopic pancreatic lesion in the upper body of the stomach"— Presentation transcript:

1 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 (February 2012) DOI: /j.gie Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 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  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 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  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 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  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

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


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