Incidental finding of ectopic pancreatic tissue in gastric wall during laparoscopic sleeve gastrectomy: a case report

Hafiz A. Hamdi; Mohammed Y. Abdo; Khalid M. Alzahrani

doi:10.18203/2349-2902.isj20243774

Authors

Hafiz A. Hamdi Department of Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Mohammed Y. Abdo Department of Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Khalid M. Alzahrani College of Medicine, Department of Surgery, Taif University, Taif, Saudi Arabia https://orcid.org/0000-0001-8231-4545

DOI:

https://doi.org/10.18203/2349-2902.isj20243774

Keywords:

Ectopic pancreatic tissue, Morbid obesity, Gastric wall lesion, Bariatric surgery, Laparoscopic sleeve gastrectomy

Abstract

Ectopic pancreatic tissue, or heterotopic pancreas, is a rare congenital anomaly defined by the presence of pancreatic tissue outside its usual location and without vascular or ductal continuity with the main pancreas. It is often asymptomatic and typically discovered incidentally during imaging or surgical procedures. We report the case of a 41-year-old female undergoing laparoscopic sleeve gastrectomy for morbid obesity (BMI: 44 kg/m²), during which a 17×9 mm nodular lesion was identified on the anterior stomach wall. Histopathological analysis confirmed ectopic pancreatic tissue, classified as Heinrich type I. This case highlights the importance of recognizing incidental findings during bariatric surgery and the need for thorough pathological evaluation to rule out malignancy or other complications.

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