A case report of esophageal heterotopic pancreas presenting as recurrent mediastinal abscess, treated by minimally invasive esophagectomy
Carregando...
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCI LTD
Citação
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, v.65, p.164-167, 2019
Resumo
INTRODUCTION: Heterotopic pancreas is a rare congenital anomaly. We report a case of esophageal heterotopic pancreas complicated by recurrent mediastinal abscess and treated by minimally invasive resection. PRESENTATION OF CASE: A 31-year-old woman was admitted with a history of recurrent chest pain, dysphagia, and heartburn. CT scan revealed focal confined collection in the lower mediastinum surrounding esophagus. Endoscopic ultrasound revealed a subepithelial lesion. The patient was treated by minimally invasive esophagectomy and made an uneventful postoperative recovery. DISCUSSION: The management of subepithelial lesions would depend on their size, ability to exclude other etiologies and their associated symptoms. The patient, in this case, was obviously symptomatic and accurate differentiation from malignant etiologies could not be accurately made. CONCLUSION: Although pancreatic heterotopia is rare, it should be remembered in the differential diagnosis of various gastrointestinal lesions. (C) 2019 The Author(s).
Palavras-chave
Esophageal neoplasms, Esophagectomy, Pancreatitis, Accessory pancreas
Referências
- Agha RA, 2018, INT J SURG, V60, P132, DOI 10.1016/j.ijsu.2018.10.028
- Bromberg Sansom Henrique, 2010, Rev. Col. Bras. Cir., V37, P413, DOI 10.1590/S0100-69912010000600007
- Chin KM, 2019, INT J SURG CASE REP, V55, P125, DOI 10.1016/j.ijscr.2019.01.026
- DOLAN RV, 1974, ARCH SURG-CHICAGO, V109, P762
- FARRAR WB, 1990, IRISH J MED SCI, V159, P19, DOI 10.1007/BF02937209
- Gananadha S, 2005, SURG LAPARO ENDO PER, V15, P345, DOI 10.1097/01.sle.0000191627.87590.d1
- Garn T, 2011, CHIRURG, V82, P447, DOI 10.1007/s00104-010-1986-3
- Humphris JL, 2008, J GASTROEN HEPATOL, V23, P556, DOI 10.1111/j.1440-1746.2007.05232.x
- Larjani S, 2017, INT J SURG CASE REP, V39, P14, DOI 10.1016/j.ijscr.2017.07.043
- Lowry DM, 2013, ANN THORAC SURG, V96, P1850, DOI 10.1016/j.athoracsur.2013.02.061
- Osanai M, 2001, PATHOL INT, V51, P549, DOI 10.1046/j.1440-1827.2001.01240.x
- Qualia Cary M, 2007, Gastroenterol Hepatol (N Y), V3, P939
- Rezvani M, 2017, RADIOGRAPHICS, V37, P484, DOI 10.1148/rg.2017160091
- Shalaby M, 2002, AM J GASTROENTEROL, V97, P1046
- Shin SS, 2007, AM J ROENTGENOL, V189, pW262, DOI 10.2214/AJR.05.1142
- Takemura M, 2011, J CARDIOTHORAC SURG, V6, DOI 10.1186/1749-8090-6-118
- TANAKA K, 1993, INT SURG, V78, P32
- Temes RT, 2000, ANN THORAC SURG, V69, P259, DOI 10.1016/S0003-4975(99)01223-0
- Watson TJ, 2009, CURR PROB SURG, V46, P190, DOI 10.1067/j.cpsurg.2008.10.005
- Zhang YF, 2016, HUM PATHOL, V55, P135, DOI 10.1016/j.humpath.2016.05.004