Giuseppe Galloro, Vincenzo Napolitano, Luca Magno, Giorgio Diamantis, Gerardo Nardone, Marika Bruno, Carmine Mollica, Giovanni Persico
Context Cystic dystrophy in heterotopic pancreas is a rare and serious condition. Diagnosis is difficult because of non-specific clinical manifestations and radiologic and endoscopic imaging are pivotal. Therapeutic management is still under debate. Case report We describe a case of cystic dystrophy of the duodenal wall in heterotopic pancreas complicated with chronic pancreatitis and pancreatic cystadenoma. Discussion Computed tomography and magnetic resonance are very useful in demonstrating the presence of cysts in a thickened duodenal wall but, for the most part, endoscopic ultrasonography is the most useful imaging examination. The choice of different therapeutic options is still under debate; although some authors have proposed a medical approach using octreotide or endoscopic treatment for selected patients, a pancreaticoduodenectomy is usually proposed for symptomatic patients. Conclusion When surgery is needed, a pancreaticoduodenectomy is preferred, reserving by-pass procedures for high risk patients. Because of the non-specific clinical manifestation and the very difficult diagnosis and therapeutic management, these patients should be studied and treated in specialized and dedicated centers.
details summary { cursor: pointer; color: #f8f9fa; } a { font-size: 11px; opacity: 0.5; }References Blog | Mortgage info in Illinois Best Betting Sites in Portugal Blog | Mortgage info in Nevada Best Betting Sites in New Zealand Best Betting Sites in Brazil Blog | Mortgage info in UK Casino Sites in Belgium Blog | Mortgage Lender in USA Info Crypto Mining Blog | Mortgage rates in USA Best Betting Sites in USA Blog | Lender in USA Auto Insurance in United Kingdom Find Lawyer in Indiana Casino Sites in Brazil Blog | List of Crypto Exchanges Blog | List of Crypto Exchanges Casino Sites in Portugal Blog | OP Systems Blog | Types of Altcoins
