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A Case of Gastric Aberrant Pancreas Associated with Multiple Polyps of the Duodenal Bulb and a Healed Doudenal Ulcer H. Asakura 1 , H. Ishii 1 , M. Tsuchiya 1 , A. Seki 2 1Department of Internal Medicine and Surgery, School of Medicine, Keio University pp.1055-1059
Published Date 1974/8/25
DOI https://doi.org/10.11477/mf.1403111935
  • Abstract
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 We report a case with aberrant pancreas in the greater curvature of the gastric pylorus associated with multiple polyps of the doudenal bulb, which consisted of Brunner's gland proven histologically.

 A 41-year-old married female was admitted to our hospital with complaints of abdominal distension, dull epigastric pain and nausea. Physical examination disclosed no abnromalities except for a small palpable mass in the epigastrium. Routine examinations of peripheral blood revealed no abnormalities. Upper gastrointestinal series showed a smooth-margined, half-round filling defect in the greater curvature of the pyloric region and multiple half-round filling defects in the duodenal bulb.

 Gastroendoscopic examination revealed a submucosal tumor with bridging folds in the greater curvature of the pyloric region and duodenoscopic examination showed multiple polyps on the posterior wall of the doudenal bulb.

 A Billroth Ⅱ hemigastrectomy was perfomed. Histopathologic study of resected specimens revealed that the submucosal tumor in the pyloric segment consisted of aberrant pancreatic tissue (Heinrich type Ⅱ) and polypes in the doudenal bulb arose from adenomatous hyperplasia of Brunner's glands. There was a healed ulcer in the doudenal bulb.


Copyright © 1974, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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