Clinical Radiology
Volume 65, Issue 5 , Pages 403-407 , May 2010

Heterotopic pancreas: typical and atypical imaging findings

  • J.W. Kung

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
    • Corresponding Author InformationGuarantor and correspondent: Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave. Boston, MA 02215, USA. Tel.: +1 267 979 8600; fax: +1 617 667 7917.
  • ,
  • A. Brown

      Affiliations

    • Department of Gastroenterology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
  • ,
  • J.B. Kruskal

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
  • ,
  • J.D. Goldsmith

      Affiliations

    • Department of Pathology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
  • ,
  • I. Pedrosa

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA

Received 26 September 2009 ,Revised 6 January 2010 ,Accepted 8 January 2010.

References 

  1. Dolan RV, ReMine WH, Dockerty MB. The fate of heterotopic pancreatic tissue. A study of 212 cases. Arch Surg. 1974;109:762–765
  2. Feldman M, Weinberg T. Aberrant pancreas: a cause of duodenal syndrome. JAMA. 1952;148:893–898
  3. Prasad TR, Gupta SD, Bhatnagar V. Ectopic pancreas associated with a choledochal cyst and extrahepatic biliary atresia. Pediatr Surg Int. 2001;17:552–554
  4. Wang W, Li K, Qin W, et al. Ectopic pancreas in mediastinum: report of 2 cases and review of the literature. J Thoracic Imaging. 2007;22:256–258
  5. Barbosa J, Dockerty MB, Waugh JM. Pancreatic heterotopia: review of the literature and report of 41 authenticated surgical cases of which 25 were clinically significant. Surg Gynecol Obstet. 1946;82:527–542
  6. Ormarsson OT, Gudmundsdottir I, Marvik R. Diagnosis and treatment of gastric heterotopic pancreas. World J Surg. 2006;30:1682–1689
  7. Rizzo RJ, Szucs RA, Turner MA. Congenital abnormalities of the pancreas and biliary tree in adults. RadioGraphics. 1995;15:49–68quiz 147–8
  8. Chawengsaksophak K, James R, Hammond VE, et al. Homeosis and intestinal tumours in CdX2 mutant mice. Nature. 1997;386:84–87
  9. Rubesin SE, Furth EE, Birnbaum BA, et al. Ectopic pancreatitis complicated by pancreatitis and pseudocyst formation mimicking jejunal diverticulitis. Br J Radiol. 1997;70:311–313
  10. Emerson L, Layfield LJ, Rohr LR, et al. Adenocarcinoma arising in association with gastric heterotopic pancreas: a case report and review of the literature. J Surg Oncol. 2004;87:53–57
  11. Lai EC, Tompkins RK. Heterotopic pancreas. Review of a 26 year experience. Am J Surg. 1986;151:697–700
  12. Thoeni RF, Gedgaudas KR. Ectopic pancreas: usual and unusual features. Gastrointest Radiol. 1980;5:37–42
  13. Silva AC, Charles JC, Kimery BD, et al. MR cholangiopancreatography in the detection of symptomatic ectopic pancreatitis in the small-bowel mesentery. AJR Am J Roentgenol. 2006;187:W195–W197
  14. Sandrasegaran K, Maglinte DD, Cummings OW. Heterotopic pancreas: presentation as jejunal tumor. AJR Am J Roentgenol. 2006;187:W607–W609
  15. Hayes-Jordan A, Idowu O, Cohen R. Ectopic pancreas as the cause of gastric outlet obstruction in a newborn. Pediatr Radiol. 1998;28:868–870
  16. Cho JS, Shin KS, Kwon ST, et al. Heterotopic pancreas in the stomach: CT findings. Radiology. 2000;217:139–144
  17. Park SH, Han JK, Choi BI, et al. Heterotopic pancreas of the stomach: CT findings correlated with pathologic findings in six patients. Abdom Imaging. 2000;25:119–123
  18. Kilman WJ, Berk RN. The spectrum of radiographic features of aberrant pancreatic rests involving the stomach. Radiology. 1977;123:291–296
  19. Shalaby M, Kochman ML, Lichtenstein GR. Heterotopic pancreas presenting as dysphagia. Am J Gastroenterol. 2002;97:1046–1049
  20. Zinkiewicz K, Juskiewicz W, Zgodzinski W, et al. Ectopic pancreas: endoscopic, ultrasound, and radiologic features. Folia Morphol. 2003;62:205–209
  21. Winston CB, Mitchell DG, Outwater EK, et al. Pancreatic signal intensity on T1-weighted fat saturation MR images: clinical correlation. J Magn Reson Imaging. 1995;5:267–271
  22. Lopez-Pelaez MS, Hoyos FB, Isidro MG, et al. Cystic dystrophy of heterotopic pancreas in stomach: radiologic and pathologic correlation. Abdom Imaging. 2008;33:391–394
  23. Hsu SD, Chan DC, Hsieh HF. Ectopic pancreas presenting as ampulla of Vater tumor. Am J Surg. 2008;195:498–500
  24. Ura H, Denno R, Hirata K, et al. Carcinoma arising from ectopic pancreas in the stomach: endosonographic detection of malignant change. J Clin Ultrasound. 1998;26:265–268
  25. Phillips J, Katz A, Zoposky P. Intraductal papillary mucinous neoplasm in an ectopic pancreas located in the gastric wall. Gastrointest Endosc. 2006;64:814–815

PII: S0009-9260(10)00036-X

doi: 10.1016/j.crad.2010.01.005

Clinical Radiology
Volume 65, Issue 5 , Pages 403-407 , May 2010