PDF(Pubmed)
Abstract：
Ectopic pancreas (EP) is an uncommon, congenital focus of pancreatic tissue that is discontinuous with the principal pancreas. A 62-year-old female underwent multiple investigations for chronic epigastric pain. EP was identified intra-operatively. On retrospection, earlier imaging showed a thickened segment of jejunum with inflammation of the surrounding small bowel mesentery, suggestive of jejunal EP pancreatitis. Histology confirmed ectopic pancreatic tissue, with sections of the EP showing evidence of previous acute and chronic pancreatitis. When no cause for chronic abdominal pain is found, diagnostic laparoscopy should be considered, and the small bowel inspected, to further investigate for rare causes of abdominal pain, such as EP.
摘要：
异位胰腺（EP）是一种罕见的，与主胰腺不连续的胰腺组织的先天性病灶。一名62岁的女性因慢性上腹痛而接受了多次调查。术中发现EP。回顾过去，早期成像显示空肠增厚，周围小肠系膜发炎，提示空肠EP胰腺炎。组织学证实异位胰腺组织，EP部分显示先前急性和慢性胰腺炎的证据。当没有发现慢性腹痛的原因时，应该考虑诊断腹腔镜检查，检查了小肠，为了进一步调查腹痛的罕见原因，如EP。
