A Case of Adenocarcinoma arising from Ectopic Gastric Pancreas with Carcinomatous Peritonitis

• Kimura Jun

  Department of Surgery, Toyama Prefectural Central Hospital

• Kaji Masahide

  Department of Surgery, Toyama Prefectural Central Hospital

• Yamamoto Sei-ichi

  Department of Surgery, Toyama Prefectural Central Hospital

• Maeda Ki-ichi

  Department of Surgery, Toyama Prefectural Central Hospital

• Yabushita Kazuhisa

  Department of Surgery, Toyama Prefectural Central Hospital

• Konishi Kohji

  Department of Surgery, Toyama Prefectural Central Hospital

• Abo Hitoshi

  Department of Radiology, Toyama Prefectural Central Hospital

• Uchiyama Akio

  Department of Pathology, Toyama Prefectural Central Hospital

• Miwa Atsuo

  Department of Pathology, Toyama Prefectural Central Hospital

Bibliographic Information

Other Title

• 癌性腹膜炎を伴う胃原発異所性膵癌の１例

Abstract

A 31-year-old woman with epigastralgia was found in gastrointestinal series and gastrointestinal fiberscopy studies to have severe stenosis of the pyloric ring, although histopathological examination showed no malignancy. Blood tumor markers were elevated-(CA19-9: 660U/ml; CA125: 40.8U/ml). CEA 0.5ng/ml was normal. Abdominal computed tomography showed wall thickening of the pyloric ring and moderate ascites, necessitating diagnostic surgery. Surgery showed 5.0×2.0cm submucosal tumor of the pyloric ring and carcinomatous peritonitis. To treat stenosis, we conducted distal partial gastrectomy. Postoperative histopathological findings showed adenocarcinoma arising from an ectopic gastric pancreas (Heinlich type II). Postoperative abdominal magnetic resonance imaging (MRI) showed the pancreatic duct of ectopic gastric pancreas in the pyloric ring. This case suggested MRI is effective for diagnosis of ectopic pancreas.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 41 (4), 399-405, 2008

  The Japanese Society of Gastroenterological Surgery

Keywords

• aberrant pancreas
• carcinomatous peritonitis
• MRI

Details

• CRID: 1390282679895804416
• NII Article ID: 130004117604
• NII Article ID: 110006655908
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.41.399
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://search.jamas.or.jp/link/ui/2008181108
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed