Herotopic pancreas in gallbladder

Heterotopic pancreas in the gallbladder is uncommon.condition and its clinical presentation is as an intramural nodule near the cystic duct, with an incidental finding in most cases.Objective: to update Heterotopic pancreas condition in the gallblader. We reported a case of a 18-year-old female, suf...

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Autores principales: Piccinni, Daniel J., Kaplan, R., Burgos, A., Rodríguez, N., Meza Vetanzo, Z., Lencina, N.
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2009
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/23464
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spelling I10-R327-article-234642024-08-27T18:24:27Z Herotopic pancreas in gallbladder Páncreas heterotopico en vesícula biliar. un hallazgo incidental Piccinni, Daniel J. Kaplan, R. Burgos, A. Rodríguez, N. Meza Vetanzo, Z. Lencina, N. heterotpic intramural incidental páncreas heterotópico nódulo intramural hallazgo incidental Heterotopic pancreas in the gallbladder is uncommon.condition and its clinical presentation is as an intramural nodule near the cystic duct, with an incidental finding in most cases.Objective: to update Heterotopic pancreas condition in the gallblader. We reported a case of a 18-year-old female, suffering with biliar colic who was operated on with diagnosis of acute cholecystitis. Six mixed gallstones were found in the surgery and the gallbladder was distended and edematous with serosal exudate and the serosa appeared discolored and hemorrhagic. The wall was thickened with edema and hemorrhage. Microscopic findings were: congestive mucosa , edema, acute inflammatory cells and fibrin deposition on the wall and a subtle (myo)-fibroblastic proliferation. The nodule was diagnosed as macroscopic heterotopic pancreatic tissue in the gallbladder wall thickness, without neoplastic changes. Clinical presentation as acute cholecystitis has been rarely reported in the presence of heterotopic pancreatic tissue. El páncreas heterotopico en vesícula biliar es extremadamente raro, siendo más común en mujeres entre los 20 y 50 años. Se presenta como un nódulo intramural cerca del conducto cístico, siendo un hallazgo incidental en la mayoría de los casos.Objetivo: Actualización de la heterotopía pancreática en vesícula biliar. Paciente femenina de 18 años de edad que es intervenida quirúrgicamente por colecistitis aguda. En el estudio macroscópico, la vesícula biliar, de 9 x 3cm, muestra serosa despulida, cavidad con 6 cálculos mixtos, pared edematosa y mucosa micro mamelonada, con puntillado hemorrágico. Cerca del cuello se visualiza un área nodular, gris blanquecina y blanda, de 1 cm. de diámetro. Las secciones histológicas mostraron erosión de la mucosa, edema, exudado fibrinoso, zonas de hemorragia e infiltrado inflamatorio agudoEl nódulo descripto en la macroscópica correspondió a tejido pancreático heterotopico en el espesor de la pared vesicular, sin cambios neoplásicos.Conclusión: Colelitiasis y colecistitis aguda, con hallazgo incidental de páncreas heterotopico.Discusión: La presentación macroscópica, las características microscópicas, la edad, el sexo y la presencia de litiasis vesicular coinciden con lo reportado en la bibliografía, no así la presentación clínica como colecistitis aguda en un caso de tejido pancreático heterotopico. Cabe destacar la ausencia de obstrucción pilórica (ya que puede asociarse con heterotopía pancreática gástrica) y de transformación maligna. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2009-09-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/23464 10.31053/1853.0605.v66.n3.23464 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 66 No. 3 (2009); 123-125 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 66 Núm. 3 (2009); 123-125 Revista da Faculdade de Ciências Médicas de Córdoba; v. 66 n. 3 (2009); 123-125 1853-0605 0014-6722 10.31053/1853.0605.v66.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/23464/23210 Derechos de autor 2009 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic heterotpic
intramural
incidental
páncreas heterotópico
nódulo intramural
hallazgo incidental
spellingShingle heterotpic
intramural
incidental
páncreas heterotópico
nódulo intramural
hallazgo incidental
Piccinni, Daniel J.
Kaplan, R.
Burgos, A.
Rodríguez, N.
Meza Vetanzo, Z.
Lencina, N.
Herotopic pancreas in gallbladder
topic_facet heterotpic
intramural
incidental
páncreas heterotópico
nódulo intramural
hallazgo incidental
author Piccinni, Daniel J.
Kaplan, R.
Burgos, A.
Rodríguez, N.
Meza Vetanzo, Z.
Lencina, N.
author_facet Piccinni, Daniel J.
Kaplan, R.
Burgos, A.
Rodríguez, N.
Meza Vetanzo, Z.
Lencina, N.
author_sort Piccinni, Daniel J.
title Herotopic pancreas in gallbladder
title_short Herotopic pancreas in gallbladder
title_full Herotopic pancreas in gallbladder
title_fullStr Herotopic pancreas in gallbladder
title_full_unstemmed Herotopic pancreas in gallbladder
title_sort herotopic pancreas in gallbladder
description Heterotopic pancreas in the gallbladder is uncommon.condition and its clinical presentation is as an intramural nodule near the cystic duct, with an incidental finding in most cases.Objective: to update Heterotopic pancreas condition in the gallblader. We reported a case of a 18-year-old female, suffering with biliar colic who was operated on with diagnosis of acute cholecystitis. Six mixed gallstones were found in the surgery and the gallbladder was distended and edematous with serosal exudate and the serosa appeared discolored and hemorrhagic. The wall was thickened with edema and hemorrhage. Microscopic findings were: congestive mucosa , edema, acute inflammatory cells and fibrin deposition on the wall and a subtle (myo)-fibroblastic proliferation. The nodule was diagnosed as macroscopic heterotopic pancreatic tissue in the gallbladder wall thickness, without neoplastic changes. Clinical presentation as acute cholecystitis has been rarely reported in the presence of heterotopic pancreatic tissue.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2009
url https://revistas.unc.edu.ar/index.php/med/article/view/23464
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first_indexed 2024-09-03T21:00:30Z
last_indexed 2024-09-03T21:00:30Z
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