Heterotopic pancreatic tissue of the stomach leading to gastric diverticulum and upper gastro-intestinal bleeding

• Main Authors: Silviu Stoian, Florinel Pop, Victor D. Strâmbu
• Format: Article
• Language: English
• Published: Digital ProScholar Media 2016-11-01
• Series: Journal of Clinical and Investigative Surgery
• Subjects: diverticulum; gastric; pancreatic; bleeding
• Online Access: https://www.proscholar.org/jcis/archive/2016/12/7983.pdf

Heterotopic pancreatic tissue of the stomach is a rare condition. Gastric diverticulum is also a rare condition, mostly located at the fornix. Therefore, the existence of a pyloric gastric diverticulum containing a submucosal tumor proved to be heterotopic pancreatic tissue of the stomach is an extremely rare condition. The patient was a young thin male with epigastralgia chronically treated for gastritis/ulcer. Following an episode of melena, he underwent gastroscopy that diagnosed antral gastric diverticulum containing a polyp. The lesion was surgically removed. The pathology report stated: heterotopic pancreatic tissue of the stomach with secondary development of a traction diverticulum. Heterotopic pancreas tissue of the stomach is a rare condition but the association with gastric diverticulum is completely unusual. The possibility of the ectopic tissue leading to secondary diverticulum development should be considered.