Bi-Weekly Quiz
| Bi-Weekly Quiz
Home > Quiz > Bi-Weekly Quiz
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 | |||||||||
|
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. |
||
References | Radio Graphics 2017; 37:484–499 |
||
Keywords | Heterotopic Pancreas | ||
Attachment File | - |
Number of Applicants : 40
Correct Answer | 9 |
Mayo Clinic | Akitoshi Inoue |
KSAR | Dr K |
Nagahama City Hospital | Ryo Uemura |
¼¿ï¾Æ»êº´¿ø | °ÁöÈÆ |
¼¼ºê¶õ½º | ±è½Â¼· |
°í´ë±¸·Î°í´ëº´¿ø | ¹Úö¹Î |
¼¿ï¾Æ»êº´¿ø | ¹ÚÈ£¿µ |
¼¿ï¾Æ»êº´¿ø | ½Å¿ë¹® |
´ë±¸ÆÄƼ¸¶º´¿ø | ¿ÀÇö¼® |