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Jejunal Ectopic Pancreas in Serosal Surface

  • Toyoaki Sawano
    Correspondence
    Correspondence: Address correspondence to: Toyoaki Sawano, MD, PhD, Department of Surgery, Jyoban Hospital of Tokiwa Foundation, 57 Kaminodai, Jyoban-Kami-Yunagayamachi, Iwaki, Fukushima, Japan.
    Affiliations
    Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan

    Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
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  • Tomohiro Kurokawa
    Affiliations
    Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan

    Department of Medical Epigenomics Research, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
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  • Norio Kanzaki
    Affiliations
    Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan
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Open AccessPublished:June 13, 2022DOI:https://doi.org/10.1016/j.gastha.2022.06.005
      A 73-year-old woman with a past history of hypertension underwent laparoscopic distal gastrectomy for gastric cancer (T2N1aM0 Stage IB). During a health checkup, esophagogastroduodenoscopy revealed a tumor on the posterior wall of the antecubital region, leading to a diagnosis of gastric cancer after a biopsy. Intraoperative intraperitoneal observation revealed a mass on the serosal surface of the jejunum. (White arrow in Figure A) Review of contrast-enhanced computed tomography of the abdomen showed an enhanced 15-mm mass lesion in the jejunum near the Treitz ligament. (Figure B) The mass was resected and submitted to rapid pathological examination because a nodule of peritoneal dissemination could not be ruled out. The lesion of serosal defect was repaired with absorbable threads. Rapid pathological examination showed pancreatic gland tissue, leading to the diagnosis of ectopic pancreas. (Figure C) Thus, the surgery was performed as scheduled.

      Acknowledgment:

      The authors express their sincere gratitude to Dr Shinichi Hirooka for the pathological diagnosis of the ectopic pancreas and the pathological technologists in Jyoban Hospital of Tokiwa Foundation for their technical cooperation.