Diagnostic Challenge in Heterotopic Pancreas in the Ampulla of Vater with Obstructive Jaundice - A Case Report and Literature Review

Chirurgia (Bucur). 2024 Aug;119(eCollection):1-5. doi: 10.21614/chirurgia.119.eC.3001.

Abstract

Heterotopic pancreas is a rare congenital abnormality. The most common location is the stomach, duodenum and proximal jejunum. Rare locations are represented by the ampulla of Vater, esophagus, ileum, Meckel diverticulum, biliary tract, mesentery and spleen. We present the case of a 49 year old patient investigated for obstructive jaundice and diagnosed with an ampullar heterotopy of pancreas parenchyma, initially considered to be a malignant tumor. A Whipple pancreatoduodenectomy was performed with good postoperative evolution, the serum levels of bilirubin being normal after the first postoperative week.

Keywords: ampullaofVater; heterotopicpancreas; obstructivejaundice.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Ampulla of Vater* / surgery
  • Choristoma* / complications
  • Choristoma* / diagnosis
  • Choristoma* / surgery
  • Common Bile Duct Diseases / complications
  • Common Bile Duct Diseases / diagnosis
  • Common Bile Duct Diseases / surgery
  • Diagnosis, Differential
  • Humans
  • Jaundice, Obstructive* / diagnosis
  • Jaundice, Obstructive* / etiology
  • Jaundice, Obstructive* / surgery
  • Male
  • Middle Aged
  • Pancreas*
  • Pancreaticoduodenectomy* / methods
  • Treatment Outcome