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KMID : 0882420110810040492
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Korean Journal of Medicine
2011 Volume.81 No. 4 p.492 ~ p.495
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A Case of Heterotopic Pancreas within Meckel’s Diverticulum with Obscure Gastrointestinal Bleeding
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Lee Jin-Hee
Min Byung-Hoon
Lee Jun-Haeng
Jeon Jun-Seok
Chung Seung-Min
Jeong Byeong-Ho
Kim Kyoung-Mee
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Abstract
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Heterotopic pancreas is a tissue histologically similar to normal pancreatic tissue found in a location other than the usual place, and having no anatomic or vascular connection with the pancreas itself. Heterotopic pancreas is usually asymptomatic and found incidentally. However, it can cause problems such as abdominal pain, melena, anemia, and severe bleeding. We report a case of a 29-year-old woman with obscure gastrointestinal bleeding caused by heterotopic pancreas located in Meckel’s diverticulum. Gastroduodenoscopy and colonoscopy showed no bleeding focus. By capsule endoscopy and double balloon enteroscopy, a bleeding focus was suspected in the ileum. The patient received a laparoscopic resection of the Meckel’s diverticulum. Pathologic examination revealed heterotopic pancreatic tissue within the muscular layer of the diverticulum. The patient recovered well without further bleeding.
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KEYWORD
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Heterotopic pancreas, Meckel’s diverticulum, Gastrointestinal bleeding
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