A previously well 55 year old man presented to his family practitioner with a
six week history of dyspepsia. He denied any other symptoms including no weight loss. Clinical examination was normal.
A gastroscopy was organised which revealed a 10 millimetre sessile polyp located at greater curvature at the lower body of the stomach. The polyp was removed by snaring. Histological examination of the polyp revealed heterotopic pancreatic tissue. He was subsequently referred to the endocrinology department to exclude any pancreatic disorder. When reviewed in the clinic, he denied any symptoms of hypoglycaemia. His dyspeptic symptoms had resolved after removal of the lesion. A CT abdomen was organised which showed the pancreas to have a slightly unusual orientation within the abdomen with the body and tail directed slightly caudially towards towards the splenic hilum. Its appearance was normal and no other abnormal soft tissue stucture was identified. The patient was reasurred about his pancreatic condition.
Heterotopic pancreatic tissue within the stomach is a very rare finding. It is a benign condition and a normal variant but can clearly cause symptoms which resolve on excision.
22 - 24 Mar 2004
British Endocrine Societies