[Endoscopic diagnosis of a gastric heterotopic pancreas and esophageal atresia: an incidental association?]. / Diagnostic endoscopique d'une hétérotopie pancréatique de l'estomac et atrésie de l'oesophage: une association fortuite?
Arch Pediatr
; 8(2): 181-5, 2001 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-11232460
ABSTRACT
UNLABELLED Heterotopic or aberrant pancreas is a rare congenital anomaly, usually asymptomatic. The preoperative diagnosis is difficult but most cases of gastric ectopic pancreas have a unique appearance that often makes possible a diagnosis in the absence of histologic confirmation. A well-delineated submucosal, firm mass with central umbilication is characteristic of gastric ectopic pancreas. To the best of our knowledge, the association of esophageal atresia and gastric heterotopic pancreas has never been reported previously. CASE REPORTS We report two cases of heterotropic pancreas associated with esophageal atresia. Both diagnoses were incidental findings and concerned children operated on at birth for esophageal atresia. Although a definitive diagnosis is histologic, the endoscopic appearance made it possible to maintain this diagnosis. CONCLUSION:
Some symptoms have been attributed to ectopic pancreas, and malignant degeneration has been reported in adults. Management continues to be debated some authors recommend surgical resection while others, as we do, prefer initial therapeutic abstention.
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Base de dados:
MEDLINE
Assunto principal:
Pâncreas
/
Gastropatias
/
Coristoma
/
Esofagoscopia
/
Gastroscopia
/
Atresia Esofágica
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Humans
/
Male
Idioma:
Fr
Revista:
Arch Pediatr
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
França