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Gastric Outlet Obstruction Caused by a Heterotopic Pancreas in a Pregnant Woman: Report of a Case |
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| Authors: | Yoshito Ikematsu Yoshiro Nishiwaki Hideo Kida Yasushi Iwaoka Sonoko Nagashima Takachika Ozawa Shinichi Hasegawa Taketoshi Okawada Shinji Waki |
| Affiliation: | (1) Department of Surgery, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu, 432-8580, Japan;(2) Department of Gastroenterology, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu, 432-8580, Japan;(3) Departments of Gynecology and Obstetrics, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu, 432-8580, Japan;(4) Department of Pathology, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu, 432-8580, Japan;(5) Department of Radiology, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu, 432-8580, Japan |
| Abstract: | 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. |
| Keywords: | Aberrant pancreas Pyloric stenosis Pregnancy |
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