EUS mini probes in diagnosis of cystic dystrophy of duodenal wall in heterotopic pancreas:A case report

作     者：Ivan Jovanovic Srbislav Knezevic Miodrag Krstic Marjan Micev 

作者机构：Clinic of Gastroenterology and HepatologyInstitute of Digestive DiseasesBelgradeSerbia and Montenegro First Surgical ClinicBelgradeSerbia and Montenegro Clinical Center of SerbiaBelgradeInstitute for Medical ResearchBelgradeSerbia and Montenegro 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2004年第10卷第17期

页      面：2609-2612页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Pancreas Adult Choristoma Cysts Duodenal Diseases Humans Male 

摘      要：Cystic dystrophy of the duodenal wall is a rare condition characterized by the development of cysts in heterotopic pancreatic tissue localized in the duodenal wall.A 38-year- old man was admitted to the hospital for abdominal pain and vomiting after food *** diagnosis of acute pancreatitis was initially *** ultrasound examination revealed thickening of the second portion of duodenal wall within which,small cysts(diameter,less than 1 cm)were present in the vicinity of pancreatic head. The head of pancreas appeared enlarged(63 mm×42 mm) and *** endoscopy and barium X-ray series were performed revealing a severe circumferential deformation,as well as 4 cm long stenosis of the second portion of the *** examination revealed multiple cysts located in an enlarged,thickened duodenal wall with moderate to strong post-contrast *** suspected that patient had cystic dystrophy of duodenal wall developed in the heterotopic pancreas and diagnosis was confirmed by endoscopic ultrasound(EUS).Endoscopic ultrasound(EUS)revealed circular stenosis from the duodenal bulb onwards.A twenty megahertz mini-prope examination further showed diffuse(intramural)infiltration of duodenal wall limited to the submucosa and muscularis propria of the second portion of duodenum with multiple microcysts within the thickened mucosa and *** was successfully surgically treated and pancreatoduodenectomy was *** pathological examination confirmed a diagnosis of cystic dystrophy of a heterotopic pancreas. Endoscopic ultrasonography features allow preoperative diagnosis of cystic dystrophy of a heterotopic pancreas in duodenal wall,with intralumina120 MHz mini probe sonography being more efficient in cases of luminal stenosis.