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Review
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Korean J Med. 2006;71(1):222-222.
- Two Cases of Aberrant Pancreas with Unusual Endoscopic and EUS Finding
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Young Jun Song, Eun Hyang Ko, Ki Hyun Choi, Chang Il Kwon, Sung Pyo Hong, Sung Kyu Hwang, Pil Won Park, Kyu Sung Rim, Kwang Hyun Ko
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- Two Cases of Aberrant Pancreas with Unusual Endoscopic and EUS Finding
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인제대학교 의과대학 내분비대사내과1, 백인제 임상의학연구소 분자치료 실험실2
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- Abstract
- A gastric aberrant pancreas has a typical EUS finding that located in the third or fourth sonographic layers, indistinct margin,
heterogeneous, mainly hypoechoic image and internal ductal structure. It is also a differential points that central umbilication on
the lesion and location at greater curvature side of distal antrum during EGD. As for differentiation of other pathology,
endoscopic ultrasonogram (EUS) allows us to visualize the structures underlying the stomach wall with somewhat typical
findings. Recently, we experienced two submucosal tumors without typical findings of aberrant pancreas on EGD and EUS that
histologically confirmed as aberrant pancreas. One is a 38-year-old man visited our hospital for dyspepsia. EGD and EUS
showed a 2cm sized heterogenous echoic lesion with well-demarcated margin originated from the third sonographic layer on
anterior wall of angle. The other is a 39-year-old woman visited our hospital for dyspepsia. EGD and EUS showed 2cm sized
mixed echoic lesion with irregular surface originated from the fourth layer on lesser curvature side of mid-body. Their final
diagnosis after laparoscopic gastric wedge resection were aberrant pancreas. We suggest that the examiner of EUS has a idea
that not all aberrant pancreas has a typical EUS finding. In this case EUS guided FNA make a more precise diagnosis and avoid
unnecessary operation.
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