Korean J Gastroenterol.  2013 Sep;62(3):165-168. 10.4166/kjg.2013.62.3.165.

A Case of a Jejunal Ectopic Pancreas Presenting as Obscure Gastrointestinal Bleeding

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea. ksb1999@hanmail.net

Abstract

A jejunal ectopic pancreas, where pancreatic tissue is found outside of the usual anatomical location, is a rare submucosal tumor that may cause obscure gastrointestinal (GI) bleeding. After initial negative endoscopic evaluation of the obscure GI bleeding, including colonoscopy and/or upper endoscopy, it is reasonable to proceed with further evaluation of the small bowel. Diagnostic options for the evaluation of the small bowel may include capsule endoscopy, push enteroscopy, or barium contrast small bowel studies. Here, we report a case of obscure GI bleeding caused by a jejunal ectopic pancreas, diagnosed through capsule endoscopy and barium contrast small bowel studies, which was treated successfully with single incision access laparoscopy.

Keyword

Pancreas; Gastrointestinal hemorrhage; Capsule endoscopy

MeSH Terms

Aged
Capsule Endoscopy
Diagnosis, Differential
Female
Gastrointestinal Hemorrhage/*diagnosis/surgery
Humans
Intestine, Small/radiography
Jejunum/pathology
Pancreas/pathology
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