Laparoscopic treatment of heterotopic pancreas in the prepyloric region

• Main Authors: Galvez-Valdovinos R, Mendoza-Rodriguez A, Coronado-Perez J, Santillan E, Funes-Rodriguez F
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2006-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Ectopic pancreas; heterotopic pancreas; laparoscopy
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2006;volume=2;issue=4;spage=224;epage=226;aulast=Galvez-Valdovinos

Heterotopic pancreas is a rare condition and its diagnosis is often difficult. Traditionally the condition is treated by open surgery. We report two young women with symptomatic heterotopic pancreas located in the prepyloric region. In the first patient, upper gastrointestinal endoscopy identified a round sessile lesion with a central umbilication of the mucosa without bleeding and in the second endoscopy showed a lesion with intraluminal protrusion. In both cases, a diagnostic laparoscopy identified masses amenable to laparoscopic excision. Intraoperative histology confirmed ectopic pancreatic tissue in both. In the treatment of heterotopic pancreas, laparoscopic excision provides a feasible, safe and effective treatment option.