Extensive pancreatic heterotopia in distal esophagus mimicking esophageal malignancy
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F15%3A10297277" target="_blank" >RIV/00064165:_____/15:10297277 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/15:10297277
Result on the web
<a href="http://dx.doi.org/10.1007/s10353-015-0326-8" target="_blank" >http://dx.doi.org/10.1007/s10353-015-0326-8</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s10353-015-0326-8" target="_blank" >10.1007/s10353-015-0326-8</a>
Alternative languages
Result language
angličtina
Original language name
Extensive pancreatic heterotopia in distal esophagus mimicking esophageal malignancy
Original language description
Background We report an unusual and rare case of a young adult patient with extensive symptomatic pancreatic heterotopia in the distal esophagus that appeared on imaging as a malignant tumor. After comprehensive preoperative workup, the soft tissue mass was treated surgically according to intraoperative histology that revealed its benign nature. Methods A young male patient with worsening epigastric pain, gastroesophageal reflux, and weight loss presented in a university hospital for a comprehensive diagnostic workup. Apart from clinical examination and laboratory tests, he underwent gastroscopy, esophageal manometry, endoscopic ultrasound, barium meal study, computed tomography (CT), and positron emission tomography (PET-CT). Finally an interdisciplinary board recommended surgical removal of a mediastinal mass and final diagnosis was reached by intraoperative histology. Results The clinical examination and laboratory test were unremarkable, esophageal manometry suggested achalasia due to simultaneous spastic and retrograde contractions with high amplitude. Barium meal showed mild compliant stenosis of the distal esophagus, but gastroscopy found no explanation. CT and later also PET-CT revealed a large soft tissue mass with avid accumulation of F-18-fluorodeoxyglucose surrounding the distal esophagus. Endoscopic ultrasound was very limited and no representative tissue samples were obtained prior to surgery. The surgeon accessed the mediastinum through the left thoracotomy and found a noncompliant well-defined mass surrounding the distal esophagus. Intraoperative histology showed nothing but common structures of pancreatic tissue. Conclusions A large soft-tissue mass of pancreatic heterotopia in the distal esophatus is extremely rare and preoperative workup inconclusive. Only surgical exploration and (intraoperative) histology are in a position to reveal its true nature.
Czech name
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Czech description
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Classification
Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FJ - Surgery including transplantology
OECD FORD branch
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Result continuities
Project
Result was created during the realization of more than one project. More information in the Projects tab.
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2015
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
European Surgery-Acta Chirurgica Austriaca
ISSN
1682-8631
e-ISSN
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Volume of the periodical
47
Issue of the periodical within the volume
4
Country of publishing house
AT - AUSTRIA
Number of pages
4
Pages from-to
206-209
UT code for WoS article
000358736300010
EID of the result in the Scopus database
2-s2.0-84938415977