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03 September 2019 : Case report  Saudi Arabia

Incidental Duodenal Pancreatic Heterotopia During Laparoscopic Sleeve Gastrectomy: A Case Report and Literature Review

Congenital defects / diseases

Fahad BaMehriz1ACEF, Mohammed N. Alali1ABEF*, Hassan Arishi2ABEF, Waed Yahya Yaseen3ABDE, Mohammed Alswayyed4D, Abdullah Aldohayan1AEF

DOI: 10.12659/AJCR.916369

Am J Case Rep 2019; 20:1305-1307

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.

Keywords: Bariatric Surgery, Duodenum, Incidental Findings, Pancreas, Adolescent, Choristoma, Duodenal Diseases, Gastrectomy, Humans, Laparoscopy, Male, Obesity, Saudi Arabia

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923