UMMS Affiliation
Department of Radiology; Department of Pathology
Publication Date
2014-07-28
Document Type
Article
Disciplines
Digestive System Diseases | Radiology
Abstract
CONTEXT: Acute pancreatitis in ectopic pancreatic tissue is an uncommon cause of acute abdominal pain and can be difficult to diagnose on imaging. Our aim is to raise awareness and aid in the diagnosis of this entity by highlighting helpful dynamic contrast-enhanced MRI imaging findings.
CASE REPORT: We report a 51-year-old man with acute onset epigastric pain presented to ER. With the presence of elevated serum lipase, the clinical diagnosis of acute pancreatitis was made. Contrast enhanced CT demonstrated normal pancreas and a focal mass at the duodenojejunal flexure, mimicked a neoplasm. Subsequent dynamic contrast enhanced MR images demonstrated enhancement pattern of the lesion similar to the native pancreatic tissue enhancement, a finding raised the possibility of acute pancreatitis in ectopic pancreatic tissue, but tumor was not excluded. Finally, patient undergone surgical bowel resection including the suspected mass that was proved as an ectopic pancreatic tissue on microscopic examination.
CONCLUSION: We concluded that findings on dynamic contrast enhanced MR imaging can be characteristic and diagnostic of acute pancreatitis in ectopic pancreatic tissue in the appropriate clinical setting.
Keywords
Choristoma, Magnetic Resonance Imaging, Pancreas, Pancreatitis, Acute Necrotizing
DOI of Published Version
10.6092/1590-8577/2390
Source
JOP. 2014 Jul 28;15(4):407-10. doi: 10.6092/1590-8577/2390. Link to article on publisher's website
Journal/Book/Conference Title
JOP : Journal of the pancreas
Related Resources
PubMed ID
25076355
Repository Citation
Thangasamy S, Zheng L, Mcintosh LJ, Lee P, Roychowdhury A. (2014). Dynamic contrast-enhanced MRI findings of acute pancreatitis in ectopic pancreatic tissue: case report and review of the literature. Radiology Publications and Presentations. https://doi.org/10.6092/1590-8577/2390. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/259
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.