30408

Image Case : Pancreatic Rest

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

Gastroenetrology

Abstract

18 years old female patient presented by epigastric pain and dyspepsia.Upper gastrointestinal endoscopy revealed umplicated small antral mass(pancreatic rest). Pancreatic rests are benign congenital anomalies defined as pancreatic tissue that lacks anatomic or vascular continuity with the pancreas itself . Also referred to as pancreatic heterotopia, heterotopic pancreas, ectopic pancreas, aberrant pancreas, and accessory pancreas. Although they can be located in many sites throughout the body, they are most commonly found in the upper gastrointestinal tract, with the gastric antrum being the most common site. The differential diagnosis of gastric antral subepithelial lesions includes benign entities such as pancreatic rests, lipomas, inflammatory polyps, hyperplastic mucosa, Leiomyoma and cysts as well as entities with malignant potential such as carcinoid tumors and gastrointestinal stromal tumors. Mucosal biopsies can exclude epithelial tumors, and EUS can help exclude other lesions (such as cysts, lipomas, stromal tumors, or extrinsic lesions). The treatment of symptomatic pancreatic rest is:Endoscopic band ligation snare polypectomy(EBLSP)  or Surgery. EUS should be performed prior to endoscopic mucosal resection to ensure safety of resection by making sure the lesion is superficial, not vascular, and does not involve the muscularis propria.

DOI

10.21608/aeji.2019.30408

Authors

First Name

Tarek

Last Name

Zaher

MiddleName

Ibrahim

Affiliation

Tropical Medicine Department, Faculty of Medicine, Zagazig University, Egypt

Email

tareqzaher@gmail.com

City

Zagazig

Orcid

0000-0002-3846-0032

Volume

9

Article Issue

1

Related Issue

5071

Issue Date

2019-03-01

Receive Date

2019-02-05

Publish Date

2019-04-19

Page Start

102

Page End

102

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_30408.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=30408

Order

13

Type

Images in Infectious and Endemic Diseases

Type Code

624

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

Image Case : Pancreatic Rest

Details

Type

Article

Created At

22 Jan 2023