Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Synchronous Ectopic Pancreases in the Cardia and Antrum of the Stomach: A Case Report

위의 분문부과 전정부에 생긴 동시성 이소췌장: 증례 보고

  • Yie, Mi-Yeon (Department of Radiology, Hallym University College of Medicine) ;
  • Jang, Kyung-Mi (Department of Radiology and Center for Imaging Science, Sungkyunkwan University School of Medicine) ;
  • Kim, Min-Jeong (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, In-Jae (Department of Radiology, Hallym University College of Medicine) ;
  • Yang, Dae-Hyun (Department of Surgery, Hallym University College of Medicine) ;
  • Jun, Sun-Young (Department of Pathology, Hallym University College of Medicine) ;
  • Min, Kwang-Seon (Department of Pathology, Hallym University College of Medicine)
  • 이미연 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 장경미 (성균관의대 삼성의료원 영상의학과) ;
  • 김민정 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 이인재 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 양대현 (한림대학교 의과대학 성심병원 외과) ;
  • 전선영 (한림대학교 의과대학 성심병원 병리과) ;
  • 민광선 (한림대학교 의과대학 성심병원 병리과)
  • Received : 2010.02.23
  • Accepted : 2010.04.02
  • Published : 2010.08.01
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Abstract

Ectopic pancreas is most commonly found in the antrum of the stomach, duodenum, or proximal jejunum. Rarely ectopic pancreas in the proximal stomach has been reported. Moreover, the coexistence of two ectopic pancreases at gastric cardia and antrum in a patient has not been reported. Ectopic pancreas usually appears as a submucosal mass, and it is difficult to differentiate between ectopic pancreas and other common submucosal tumors, such as a gastrointestinal stromal tumor (GIST) or leiomyoma. Here, we present a case of the coexistence of two ectopic pancreases at cardia and antrum of the stomach in a 60-year-old man, which was preoperatively misdiagnosed as GIST.

이소췌장은 위전정부, 십이지장 또는 공장에 가장 잘 발생하는 것으로 알려져 있다. 근위부 위에 발생한 이소췌장의 증례는 드물게 보고되어있다. 그러나 한 환자에서 위 분문부와 전정부에 동시에 발생한 이소췌장의 증례는 보고된 바가 없다. 이소췌장은 주로 점막하 종양으로 나타나며, 다른 점막하 종양인 위장관 간질종양이나 근종과의 감별이 어렵다. 이에 저자들은 수술 전 진단에서 위장관 간질종양으로 오진된, 60세 남자의 위 분문부와 전정부에서 동시에 발생한 이소췌장의 증례를 경험하였기에 보고하고자 한다.

Keywords

References

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