Endoscopic Mucosal Resection of Pancreatic Rest Presenting as a Sub-epithelial Nodule in the Gastric Antrum.

endoscopic mucosal resection endoscopic ultrasound gastric nodule pancreatic neoplasia pancreatic rest

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Dec 2023
Historique:
accepted: 17 12 2023
medline: 18 1 2024
pubmed: 18 1 2024
entrez: 18 1 2024
Statut: epublish

Résumé

Pancreatic rest/ectopic pancreas is a rare condition. An 82-year-old male presented with abdominal pain and was found to have an antral nodule on esophagogastroduodenoscopy (EGD). An endoscopic ultrasound (EUS) was done and the nodule was resected. Histology showed ectopic pancreatic tissue with pancreatic intraepithelial neoplasia, PanIN-1 (low-grade dysplasia). This case highlights the importance of considering pancreatic rest as a differential in patients who present with a gastric sub-epithelial lesion and the associated finding of PanIN-1 highlights the importance of resecting such heterogeneous appearing lesions given the potential risk of progressing to pancreatic ductal adenocarcinoma (PDA).

Identifiants

pubmed: 38234932
doi: 10.7759/cureus.50713
pmc: PMC10792705
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e50713

Informations de copyright

Copyright © 2023, Bahirwani et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Janak Bahirwani (J)

Gastroenterology, St. Luke's University Health Network, Bethlehem, USA.

Rodrigo Duarte-Chavez (R)

Gastroenterology, St. Luke's University Health Network, Bethlehem, USA.

Lisa Stoll (L)

Pathology, St. Luke's University Health Network, Bethlehem, USA.

Ayaz Matin (A)

Gastroenterology, St. Luke's University Health Network, Bethlehem, USA.

Classifications MeSH