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ABDOMEN / GI tract general 36 / F, No specific symptom
Number of Applicants : 40
2019-10-16
| About Author | |
| Authors | Sunyoung Lee |
| Institution | Severance Hospital, Yonsei University College of Medicine |
| carnival0126@gmail.com | |
| About Case | |||
| Chief complaint or Title |
No specific symptom | ||
| Age | 36 | Sex | F |
| Difficulty | For resident, For specialist | ||
| Modality | CT, Etc | ||
| Case Figures | |||||||||
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| Questions | ||
| What is your most likely diagnosis of this lesion? |
| Answer | |||
| Diagnosis | Heterotopic Pancreas | ||
| Comments | Heterotopic
•Separated from main gland •M/C in upper GI tract : stomach(25.5%), duodenum(27.7%), proximal jejunum(15.9%) •Less common : esophagus, ileum, Meckel diverticulum, biliary tree, spleen & mesentery •Sx •Asymptomatic : Uncomplicated HP incidentally discovered by surgery, imaging etc. •Epigastric pain, chronic abdominal pain, nausea, vomiting, weight loss(rare) •CT findings – small oval intramural mass with microlobulated margin and endoluminal growth pattern •Acinus-dominant lesion : homogeneous enhancement •Duct-dominant lesion : heterogeneous and hypovascular •MR findings •T1 – isointense to normal pancreas, with T1 hyperintensity after Gd-based contrast(arterial phase) •Rudimentary ductal system – orifice visible as a central umbilication in lesion •Complications •Pancreatitis, pseudocyst, malignant degeneration, GI bleeding, bowel obstruction, intussusception etc. |
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| References | Radio Graphics 2017; 37:484–499 |
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| Keywords | Heterotopic Pancreas | ||
| Attachment File | - | ||
Number of Applicants : 40
| Correct Answer | 9 |
| Mayo Clinic | Akitoshi Inoue |
| KSAR | Dr K |
| Nagahama City Hospital | Ryo Uemura |
| 서울아산병원 | 강지훈 |
| 세브란스 | 김승섭 |
| 고대구로고대병원 | 박철민 |
| 서울아산병원 | 박호영 |
| 서울아산병원 | 신용문 |
| 대구파티마병원 | 오현석 |