Heterotopic Pancreatic Tissue in Gall Bladder: A Rare EntityParul Gupta*, Neema Tiwari, Nirupama Lal and Srivastava AN
Department of Pathology, Eras Lucknow Medical College and Hospital, India
- *Corresponding Author:
- Parul Gupta
Department of Pathology
Eras Lucknow Medical College and Hospital, India,
Tel: +91 522 415 3777
E-mail: [email protected]
Received date: November 25, 2016; Accepted date: January 17, 2017; Published date: January 23, 2017
Citation: Gupta P, Tiwari N, Lal N, Srivastava AN (2017) Heterotopic Pancreatic Tissue in Gall Bladder: A Rare Entity. J Clin Case Rep 7:922. doi: 10.4172/2165-7920.1000922
Copyright: © 2017 Gupta P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Pancreatic heterotopia is a rare pathological entity and its localization in gall bladder is extremely rare. It is mostly asymptomatic incidental finding and rarely gives rise to complications. It can be associated with incidental finding or can be symptomatic or may cause complication. Heterotopic pancreas (HP) also referred to as ectopic pancreas, pancreatic choristoma, or pancreatic rest, is defined as the aberrantly located pancreatic tissue in an anomalous location without any anatomic, vascular, or neural continuity with the main body of the normal pancreas. The most common location for HP is the duodenum, upper jejunum and stomach.
Case report: A 35 year male was admitted to the Surgical Department of EraÃ¢ÂÂs Lucknow Medical College and Hospital for an elective laparoscopic cholecystectomy. He had complains of sporadic flatulence after meals and belching. His gall bladder was resected post an USG revealing Gall stones and sent for histopathology where he was diagnosed as a case of heterotopic pancreas in the GB neck with chronic cholecystitis.
Discussion: Localization of pancreatic heterotopia in gall bladder is the second most prevalent pancreatic anomaly but an extremely rare finding. The incidence in gastrointestinal tract is estimated to be from 0.55% to 13.7% on autopsy, and 0.2% in laparatomy. Most commonly these are incidental findings but some studies have implicated them as causative factors in the genesis of cholecystitis, obstructions etc.
Conclusion: HP of the gallbladder may cause clinical symptoms such as cholecystitis as well as complications which can be fatal and hence this condition should be taken into consideration in patients with symptomatic gallbladder disease.