Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2023; 11(11): 2496-2501
Published online Apr 16, 2023. doi: 10.12998/wjcc.v11.i11.2496
Intraductal papillary mucinous neoplasm originating from a jejunal heterotopic pancreas: A case report
Jun-Hao Huang, Wei Guo, Zhe Liu
Jun-Hao Huang, Wei Guo, Zhe Liu, Department of Pancreatic-Biliary Surgery, The First Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: Huang JH and Guo W wrote the manuscript; Liu Z edited the manuscript; All authors have read and approved the final version.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhe Liu, MD, Professor, Surgeon, Department of Pancreatic-Biliary Surgery, The First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang 110001, Liaoning Province, China. liuzhe4321@126.com
Received: November 28, 2022
Peer-review started: November 28, 2022
First decision: January 19, 2023
Revised: February 1, 2023
Accepted: March 15, 2023
Article in press: March 15, 2023
Published online: April 16, 2023
Abstract
BACKGROUND

Intraductal papillary mucinous neoplasm (IPMN) is a rare pancreatic tumor and has the potential to become malignant. Surgery is the most effective treatment at present, but there is no consensus on the site of resection. Heterotopic pancreas occurs in the gastrointestinal tract, especially the stomach and duodenum but is asymptomatic and rare. We report a case of ectopic pancreas with IPMN located in the jejunum.

CASE SUMMARY

A 56-year-old male patient suffered from severe pain, nausea and vomiting due to a traffic accident and sought emergency treatment at our hospital. Contrast-enhanced computed tomography of the whole abdomen suggested splenic congestion, which was considered to be splenic rupture. Emergency laparotomy was performed, and the ruptured spleen was removed during the operation. Unexpectedly, a cauliflower-like mass of about 2.5 cm × 2.5 cm in size was incidentally found about 80 cm from the ligament of Treitz during the operation. A partial small bowel resection was performed, and postoperative pathology confirmed the small bowel mass as heterotopic pancreas with low-grade IPMN.

CONCLUSION

Ectopic pancreas occurs in the jejunum and is pathologically confirmed as IPMN after surgical resection.

Keywords: Heterotopic pancreas, Intraductal papillary mucinous neoplasm, Tumor, Case report, Pathology, Diagnosis

Core Tip: We report a patient who was admitted to the hospital because of splenic rupture caused by vehicle trauma. Exploratory laparotomy, splenectomy, small intestinal tumor resection, abdominal cavity irrigation and drainage were performed. Postoperative pathology confirmed a diagnosis of ectopic pancreas with intraductal papillary mucinous neoplasm.