CASE 403: ECTOPIC ACCESSORY PANCREAS, Dr PHAN THANH HẢI - Dr LÊ VĂN TÀI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Female 19yo with headache and  abdominal peristaltic pain. In check- up of abdomen,  ultrasound detected one  subhepatic mass  moving  with respiration,  size of 6 cm,  hypoechoic, hypervascular, not  attached to any organ in abdomen ( US 1, US 2) .

Upon  MSCT with CE, this mass  is  very fast  CE enhanced,  same time with pancreas ( CT1, CT2).

Blood tests are normal. And gastro-colonoscopy is normal.

Discussion:  CT and ultrasound showed  this tumor  in abdomen near the liver border and duodenum while scanning  in  standing position  this mass moving to right iliac fossa. One surgeon said  may be GIST.
Endolaparoscopic operarion  detected this mass is covered by great omentum (see foto 1) with very long pedicule due to great vascular supply (foto 2).
Removed this mass and  macroscopic this tissue looked like pancreas tissue (foto 3, 4).

Microscopic report  is  adenoma  of pancreas.