Herotopic pancreas in gallbladder
DOI:
https://doi.org/10.31053/1853.0605.v66.n3.23464Keywords:
heterotpic, intramural, incidentalAbstract
Heterotopic pancreas in the gallbladder is uncommon.condition and its clinical presentation is as an intramural nodule near the cystic duct, with an incidental finding in most cases.
Objective: to update Heterotopic pancreas condition in the gallblader. We reported a case of a 18-year-old female, suffering with biliar colic who was operated on with diagnosis of acute cholecystitis. Six mixed gallstones were found in the surgery and the gallbladder was distended and edematous with serosal exudate and the serosa appeared discolored and hemorrhagic. The wall was thickened with edema and hemorrhage. Microscopic findings were: congestive mucosa , edema, acute inflammatory cells and fibrin deposition on the wall and a subtle (myo)-fibroblastic proliferation. The nodule was diagnosed as macroscopic heterotopic pancreatic tissue in the gallbladder wall thickness, without neoplastic changes.
Clinical presentation as acute cholecystitis has been rarely reported in the presence of heterotopic pancreatic tissue.
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Shiwani MH, Gosling J. Heterotopic pancreas of the gallbladder associated with chronic cholecystitis. JOP 2008:8;9:30-2. [Full Text]
Inceoglu R, Dosluoglu HH, Kullu S, Ahiskali R, Doslu FA. An unusual cause of hydropic gallbladder and biliary colic--heterotopic pancreatic tissue in the cystic duct: report of a case and review of the literature. Surg Today. 1993;23:532-4. [Full Text]
Elpek GO, Bozova S, Küpesiz GY, Oğüş M. An unusual cause of cholecystitis: heterotopic pancreatic tissue in the gallbladder. World J Gastroenterol 2007;14;13:313 [Full Text]
Neupert G, Appel P, Braun S, Tonus C. Heterotopic pancreas in the gallbladder. Diagnosis, therapy, and course of a rare developmental anomaly of the pancreas Chirurg. 2007;78:261-4. [Abstract]
Oizilbash AH. Acute pancreatitis occurring in heterotopic pancreatic tissue in the gallbladder. Can J Surg. 1976;19:413-4. [Abstract]
Mboti F, Maassarani F, De Keuleneer R. Cholecystitis associated with heterotopic pancreas. Acta Chir Belg. 2003;103:110-2. [Full Text]
Sakarya A, Erhan Y, Aydede H, Kara E, Ilkgül O, Ciftdoğan C. Ectopic liver (choristoma) associated with the gallbladder encountered during laparoscopic cholecystectomy: a case report. Surg Endosc. 2002;16:1106. [Abstract]
Bhana BD, Chetty R. Heterotopic pancreas--an unusual cause of cholecystitis. S Afr J Surg. 1999;37:105-7. [Abstract]
Murakami M, Tsutsumi Y. Aberrant pancreatic tissue accompanied by heterotopic gastric mucosa in the gall-bladder. Pathol Int. 1999;49:580-2. [Abstract]
Hadzi-Nikolov D, Resl M, Herzig B, Svĕtlík M. Heterotopic pancreatic tissue in the wall of the gallbladder Cesk Patol. 1997;33:146-8. [Abstract]
Kondi-Paphiti A, Antoniou AG, Kotsis T, Polimeneas G. Aberrant pancreas in the gallbladder wall. Eur Radiol. 1997;7:1064-6. [Abstract]
M. Reyes Mazas Raba, Marta San Román Muñoz, Salvador García Calatayud, Domingo González-Lamuño, Ernesto de Diego García, Marta Mayorga Fernández, Macarena Otero Fernández. Anales de Pediatría Vol.62 Núm. Supl.2
Chávez M., Vargas G., Nago A., Uribe R. Hemorragia digestiva alta masiva asociada
a páncreas ectópico antral. XXVII Congreso Panamericano de Enfermedades Digestivas.
Vera Velasco C, Cruz Ortiz H, Pérez Espinosa J, Ortega Maldonado P. Tejido pancreático heterotópico en la vesícula biliar. Presentación de un caso. 82 Rev. Med Hosp. Gen Mex 2007; 70 (2): 82-84 [Full Text]
María Amelia Picón, Lenny Terrazas Sánchez, Diego Gonzalez, Simón Pérez, Mirian Sanchez Segura, Silvia Holgado .Forma de presentación de páncreas heterotópico en vesícula biliar: a propósito de un caso con revisión de la bibliografía. X Congreso virtual de Anatomía Patológica 2009 .Cominucación Nº 2016 [Full Text]
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