A CASE OF GASTRIC ABERRANT PANCREATIC TISSUE DETECTED FINE PANCREATOGRAM BY ENDOSCOPICAL CANNULATION

DOI
  • YONESHIMA Manabu
    The First Department of Internal Medicine, School of Medicine, Kanazawa University
  • HIRAI Nobuyuki
    The First Department of Internal Medicine, School of Medicine, Kanazawa University
  • OIKO Yoshiyasu
    The First Department of Internal Medicine, School of Medicine, Kanazawa University
  • URABE Takeshi
    The First Department of Internal Medicine, School of Medicine, Kanazawa University
  • TANAKA Nobuyoshi
    The First Department of Internal Medicine, School of Medicine, Kanazawa University
  • KOBAYASH Ken-ichi
    The First Department of Internal Medicine, School of Medicine, Kanazawa University
  • HATTORI Nobu
    The First Department of Internal Medicine, School of Medicine, Kanazawa University

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Other Title
  • 明瞭な膵管像を描出しえた胃迷入膵の1例

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Abstract

A 38-year-old man without subjective complaints had an x-ray examination for a gastric mass survy, which pointed out a filling defect on the lesser curvature of the upper body. A close x-ray examination and a fiberscopy of the stomach disclosed a submucosal tumor with a central umbilication on the upper body. EUS findings showed that the tumor was located in the submucosal layer with thicken-ing of the surrounding proper muscle layer and its echo pattern was solid with some small cystic or ductulous low areas. The findings suggested that the tumor was aberrant pancreatic tissue. On the second gastrofiberscopy, we extracted PPJ and got pancreatic tissue from the tumor. And we succeeded in pancreatography by endoscopical cannulation into the outlet of the duct of the tumor. Thus, this case is a rare case of gastric aberrant pancreatic tissue for which EUS, collection of PPJ and pancreatography were useful for the diagnosis.

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