Recurrent epigastric pain revealing an aberrant pancreas on endoscopic ultrasonography: a case report

Abstract

Pancreatic heterotopia or aberrant pancreas is a rare birth defect, usually asymptomatic. Its preoperative diagnosis is difficult; the therapeutic attitude remains debated. The clinical implications and embryological description of these rare abnormalities are discussed. We report a case of gastric aberrant pancreas revealed by recurrent epigastric pain. The patient was 57-year-old and had no specific pathological history. She reported several recurrent epigastric pains and presented epigastric pain at admission. Endoscopic examination was performed showing an umbilicated polypoid lesion at the antrum in stomach. Endoscopic ultrasonography showed a hypoechoic image in favor of an aberrant pancreas. Therefore, we should be aware that a gastric aberrant pancreas can cause recurrent epigastric pain.