Gastric Outlet Obstruction Caused by a Heterotopic Pancreas in a Pregnant Woman: Report of a Case

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• 作者：Yoshito Ikematsu ; Yoshiro Nishiwaki ; Hideo Kida ; Yasushi Iwaoka ; Sonoko Nagashima ; Takachika Ozawa ; Shinichi Hasegawa ; Taketoshi Okawada and Shinji Waki
• 关键词：Aberrant pancreas ; Pyloric stenosis ; Pregnancy
• 刊名：Surgery Today
• 出版年：2003
• 出版时间：December 2003
• 年：2003
• 卷：33
• 期：12
• 页码：952-955
• 全文大小：270 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

A 26-year-old Japanese woman who was 23 weeks pregnant presented with nausea, vomiting, and abdominal pain. Gastroduodenal endoscopic examination revealed an oval-shaped submucosal tumor obstructing the gastric outlet at the prepyloric area in the stomach. Magnetic resonance imaging showed a 5-cm cystic tumor and we suspected a degenerated gastrointestinal stromal tumor. No other radiological tests were done because of the associated risks to the fetus. Distal gastrectomy was performed and a histological diagnosis of heterotopic pancreas was confirmed. The patient had an uneventful postoperative course and was discharged 19 days after her operation. She delivered a healthy, full-term male infant 3 months later. This case of an ectopic pancreas obstructing the gastric outlet in a pregnant woman is reported and discussed due to its rarity.