C Sciumè1, G Geraci, F Pisello, F Li Volsi, T Facella, G Modica. 1. Università degli Studi di Palermo, Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone, Dipartimento di Chirurgia Generale d'Urgenza e dei Trapianti d'Organo, Unità Operativa di Chirurgia Generale ad Indirizzo Toracico. carmesci@hotmail.com
Abstract
OBJECTIVE: The Authors report their experience about a case of aberrant pancreas that lead epigastralgia. DESIGN: Report of 1 case and endoscopic treatment (upper endoscopy + EUS + endoscopic polypectomy + endoscopic biopsy of the base. Surgical effectiveness evaluation. SETTING: Section of General and Thoracic Surgery, Department of General Surgery, Emergency and Organ Transplantation, Policlinico "Paolo Giaccone", Palermo. INTERVENTION: After correct and sure diagnosis, the patient was submitted to endoscopic polypectomy with radical and curative intention. RESULTS: Complete recovery. Hematochemical and endoscopic follow-up (1 months) negative. CONCLUSIONS: Diagnosis of aberrant pancreas is very hard and always post-resection. Symptoms are poor and makes the clinical diagnosis extremely difficult, except when the mass attains big dimension (>5 cm). The best treatment of aberrant pancreas is based on correct diagnosis (upper endoscopy + EUS + FNAB) and on a radical treatment that, if the lesion is mucosal, is totally endoscopic (endoscopic polipectomy), without specific risk.
OBJECTIVE: The Authors report their experience about a case of aberrant pancreas that lead epigastralgia. DESIGN: Report of 1 case and endoscopic treatment (upper endoscopy + EUS + endoscopic polypectomy + endoscopic biopsy of the base. Surgical effectiveness evaluation. SETTING: Section of General and Thoracic Surgery, Department of General Surgery, Emergency and Organ Transplantation, Policlinico "Paolo Giaccone", Palermo. INTERVENTION: After correct and sure diagnosis, the patient was submitted to endoscopic polypectomy with radical and curative intention. RESULTS: Complete recovery. Hematochemical and endoscopic follow-up (1 months) negative. CONCLUSIONS: Diagnosis of aberrant pancreas is very hard and always post-resection. Symptoms are poor and makes the clinical diagnosis extremely difficult, except when the mass attains big dimension (>5 cm). The best treatment of aberrant pancreas is based on correct diagnosis (upper endoscopy + EUS + FNAB) and on a radical treatment that, if the lesion is mucosal, is totally endoscopic (endoscopic polipectomy), without specific risk.
Authors: Seiichi Villalona; Guillermo Glover-López; Juan Antonio Ortega-García; Rosa Moya-Quiles; Pedro Mondejar-López; Maria C Martínez-Romero; Mariano Rigabert-Montiel; María D Pastor-Vivero; Manuel Sánchez-Solís Journal: J Med Case Rep Date: 2017-02-15