AI Article Synopsis
- Heterotopic pancreas refers to pancreatic tissue found outside its normal location, commonly in the upper gastrointestinal tract, and was discovered incidentally in a young obese patient during laparoscopic sleeve gastrectomy.
- A 15-year-old Saudi male had a duodenal nodule found during surgery, which was removed along with the gastric procedure, with no complications reported.
- The case highlights the need for more research into the safety and efficacy of removing such incidental findings during bariatric surgeries, as other lesions like gastrointestinal stromal tumors are frequently encountered.
Article Abstract
BACKGROUND Heterotopic pancreas is pancreatic tissue that presents outside the normal anatomical location. It is mostly discovered in the upper gastrointestinal tract (mostly the foregut). We report the first case report of incidentaloma of duodenal heterotopic pancreas in obese patients during laparoscopic sleeve gastrectomy. CASE REPORT A 15-year-old Saudi male obese patient was admitted electively for laparoscopic sleeve gastrectomy. Incidentally, during intraoperative procedure, a duodenal nodule was noted in the first part of the duodenum. A wedge resection of the mass was done after a standard laparoscopic sleeve gastrectomy was accomplished and it had an uneventful postoperative course. The histopathological examination showed heterotopic pancreas tissue. CONCLUSIONS Gastrointestinal stromal tumors are found to be the most common incidental pathology during bariatric surgery. The safety and efficacy of excision of similar lesions during laparoscopic sleeve gastrectomy needs to be further investigated.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6730080 | PMC |
| http://dx.doi.org/10.12659/AJCR.916369 | DOI Listing |
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