A Case of Heterotopic Pancreatic Tissue Discovered in the Distal Esophagus.

Dema Shamoon,Varun Patel,Vanessa Sostre,Ariy Volfson

doi:10.1155/2020/4695184

Dema Shamoon, Varun Patel + Show 2 more

Open Access

https://doi.org/10.1155/2020/4695184

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Abstract

Heterotopic pancreas (HP) is a congenital abnormality that represents ectopic pancreatic tissue that does not have anatomic, vascular, or ductal continuity. The prevalence of HP is 0.55% to 13.7% on autopsy, 0.2% to 0.5% of abdominal operations, and 0.9% of gastrectomies. It is commonly found in the stomach, duodenum, and proximal jejunum. Only 15 cases have been reported in the medical literature regarding involvement of the esophagus. Treatment depends on symptoms and location. In asymptomatic patients, simple observation may be sufficient; however, in those who are symptomatic, surgery may be warranted. We present a case of a 70-year-old male with heartburn, nausea, and abdominal bloating who underwent a diagnostic esophagogastroduodenoscopy (EGD) and was found to have HP on histology in the distal esophagus. In our case, symptoms were treated conservatively and successfully with a proton pump inhibitor (PPI).

Highlights

A heterotopic pancreas (HP) is a congenital anomaly that is anatomically separate yet histologically the same as the pancreas [1, 2]. is anomaly is known as ectopic, aberrant, or as an accessory pancreas as it does not have anatomic, vascular, or ductal continuity [1, 2]
We present a case of a 70-year-old male who was incidentally found to have HP located in the distal esophagus on EGD after reported complaints of heartburn, nausea, and abdominal bloating
Presentation is is a case of a 70-year-old male with a medical history significant for hypertension, hypercholesterolemia, melanoma, and atrial fibrillation who presented with complaints of heartburn, nausea, and abdominal bloating

Summary

Introduction

A heterotopic pancreas (HP) is a congenital anomaly that is anatomically separate yet histologically the same as the pancreas [1, 2]. is anomaly is known as ectopic, aberrant, or as an accessory pancreas as it does not have anatomic, vascular, or ductal continuity [1, 2]. We present a case of a 70-year-old male who was incidentally found to have HP located in the distal esophagus on EGD after reported complaints of heartburn, nausea, and abdominal bloating. 2. Presentation is is a case of a 70-year-old male with a medical history significant for hypertension, hypercholesterolemia, melanoma, and atrial fibrillation who presented with complaints of heartburn, nausea, and abdominal bloating. Our patient was treated for dyspepsia with a trial of PPI. He was scheduled for an EGD, which revealed an incidental 5 mm polypoid appearing lesion in the distal esophagus above the gastroesophageal junction (Figures 1 and 2). Patient may need an endoscopic ultrasound (EUS) depending on his surveillance EGD results

Discussion

F Submucosal tumor of GEJ

Findings

Conclusions