A case of a jejunal ectopic pancreas presenting as obscure gastrointestinal bleeding.

Abstract

A jejunal ectopic pancreas, where pancreatic tissue is found outside of the usual anatomical location, is a rare submucosal tumor that may cause obscure gastrointestinal (GI) bleeding. After initial negative endoscopic evaluation of the obscure GI bleeding, including colonoscopy and/or upper endoscopy, it is reasonable to proceed with further evaluation of the small bowel. Diagnostic options for the evaluation of the small bowel may include capsule endoscopy, push enteroscopy, or barium contrast small bowel studies. Here, we report a case of obscure GI bleeding caused by a jejunal ectopic pancreas, diagnosed through capsule endoscopy and barium contrast small bowel studies, which was treated successfully with single incision access laparoscopy.

• Authors: Woo Hyung Choi, Hyoung Jin Chang, Jee Hwan Seung, Bong Suk Ko, Sang Bum Kang
• Journal: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi (Korean J Gastroenterol) Vol. 62 Issue 3 Pg. 165-8 (Sep 2013) ISSN: 2233-6869 [Electronic] Korea (South)
• PMID: 24077627 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Capsule Endoscopy
• Diagnosis, Differential
• Female
• Gastrointestinal Hemorrhage (diagnosis, surgery)
• Humans
• Intestine, Small (diagnostic imaging)
• Jejunum (pathology)
• Pancreas (pathology)
• Radiography