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Ectopic pancreas at the ampulla of Vater diagnosed with endoscopic snare papillectomy: A case report and review of literature

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World Journal of Gastrointestinal Endoscopy 2021年第9期13卷 437-446页

作者： Manoj A Vyawahare Naga Bharati Musthyla Department of Medical Gastroenterology American Oncology Institute at Nangia Specialty HospitalNagpur 440028MaharashtraIndia Department of Pathology AmPath Central Reference LaboratoryHyderabad 500019TelanganaIndia

BACKGROUND Ectopic pancreas is a rare developmental anomaly that results in a variety of clinical *** with ectopic pancreas are mostly asymptomatic,and if symptomatic,symptoms are usually nonspecific and determined by the location of the lesion and the various complications arising from *** pancreas at the ampulla of Vater(EPAV)is rare and typically diagnosed after highly morbid surgical procedures such as pancreaticoduodenectomy or *** our knowledge,we report the first case of confirmed EPAV with a minimally invasive *** SUMMARY A 71-year-old male with coronary artery disease,presented to us with new-onset dyspepsia with imaging studies revealing a‘double duct sign’secondary to a small subepithelial ampullary *** hematological and biochemical investigations were *** age,comorbidity,poor diagnostic accuracy of endoscopy,biopsies and imaging techniques for subepithelial ampullary lesions,and suspicion of malignancy made us acquire histological diagnosis before morbid surgical *** performed balloon-catheter-assisted endoscopic snare papillectomy which aided us to achieve en bloc resection of the ampulla for histopathological diagnosis and *** patient’s post-procedure recovery was *** en bloc resected specimen revealed ectopic pancreatic tissue in the ampullary ***,the benign histopathology avoided morbid surgical intervention in our *** 15 mo follow-up,the patient is *** EPAV is rare and remains challenging to *** rare entity should be included in the differential diagnosis of subepithelial ampullary *** en bloc resection of the papilla may play a vital role as a diagnostic and therapeutic option for preoperative histological diagnosis and staging to avoid morbid surgical procedures.

关键词： Ectopic pancreas Heterotopic pancreas Ampulla of Vater endoscopic snare papillectomy Ampullary tumors Case report

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