Pancreatic rest disguised as inflammatory bowel disease in young adult

J Surg Case Rep. 2022 Apr 11;2022(4):rjac153. doi: 10.1093/jscr/rjac153. eCollection 2022 Apr.

Abstract

Pancreatic rest, otherwise known as aberrant, ectopic or heterotopic pancreas, occurs when the pancreatic tissue does not have an anatomical or vascular connection to the normal body of the pancreas. This rare congenital anomaly was first described in 1727 by Hunt and Bonesteel, and it is now known to be found predominantly within the stomach or proximal small bowel. Most of the time, pancreatic rest is asymptomatic and is found incidentally. When symptomatic, the most common presentations tend to be: abdominal pain, nausea, gastrointestinal bleeding, obstruction and symptoms of pancreatitis. We report a case of a 21-year-old female with symptomatic pancreatic rest noted in two locations: antrum of the stomach and the proximal jejunum just distal to the ligament of Treitz.

Keywords: aberrant pancreas; ectopic pancreas; inflammatory bowel disease; pancreatic rest.

Publication types

  • Case Reports