Gastrointestinal Hemorrhage Secondary to Duodenal Cystic Dystrophy in Heterotopic Pancreas

Alicia Brotons, Maria Dolores Pico, Javier Sola-Vera, Carlos Sillero, Amador Cuesta, Israel Oliver

Abstract


Cystic dystrophy of the duodenal wall (CDDW) is a complication of heterotopic pancreatic tissue located in the wall of the gastrointestinal tract, characterized by the presence of multiple small cysts, usually found in the wall of the second part of the duodenum. Gastrointestinal hemorrhage due to CDDW is a rare complication. We report the case of a 50-year-old man who was admitted to our hospital for persistent vomiting. The imaging tests confirmed the diagnosis of CDDW. During his stay in hospital, the patient had a gastrointestinal hemorrhage secondary to this disorder, which made it necessary to perform a Roux-en-Y gastrojejunostomy (Billroth III).




doi:10.4021/gr257w


Keywords


Cystic dystrophy; Heterotopic pancreas; Hemorrhage; Paraduodenal pancreatitis

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