Heterotropic Pancreas (1 of 6)

Heterotopic Pancreas, due to the hole, as the diameter is not usual in the heterotopic pancreas, some biopsies were obtained from the submucosa which histologically demostrated pancreatic tissue. Heterotopic pancreatic tissue, also termed a “pancreatic rest,” can be found in the stomach, duodenum, or jejunum. Typically, these rests are asymptomatic, but abdominal pain, nausea, vomiting, and rarely bleeding have been attributed to rests located in the stomach. These lesions typically appear as 2- to 4-cm submucosal masses in the prepyloric region, and it is not unusual that central umbilication is noted. The nodules are firm and may have a yellow appearance. Endoscopic ultrasound will show a heterogenous submucosal mass with a pancreatic duct remnant.