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The Old Endoscopy Quiz (and Answer) of the Month
February 2005

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the Quiz Page

Question:

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This middle aged lady came to an upper endoscopy because of a slight suspicion of coeliac disease, which she did not have. The endoscopy was otherwise normal except for this finding in her gastric antrum. What is this typical finding?

Answer:

    Ectopic Pancreas


    Ectopic pancreas
    		Ectopic pancreas. Pancreatic tissue outside the normal pancreas. Ectopic pancreases can be found in the stomach, duodenum and ileum and they are not rare (found in autopsies from 0.6% to 15%). In the stomach it is primarily found in the prepyloric region along the greater curvature. A central mucosal repression is often seen at endoscopy. Ectopic pancreases do not usually cause any symptoms and pancreatic malignancy in an ectopic pancreas is extremely rare - about 10 cases have been describet in the medical litterature. Synonyms are aberrant pancreas, heterotopic pancreas or accessory pancreas.

Correct answers and comments were emailed by

    Petr.Vozeh, Praha, Èeská Republika
    Piotr Szczecinski, Warsaw, Poland
    Ervin Toth, Malmo, Sweden
    Salvatore Della Ducata, Gallipoli, Italy
    DR.Bassam Ahmad Moussawi, Nabi Chit, LEBANON
    Zahreddine Radwan, Beirut, Lebanon
    Sun Guohui, Beijing , China
    fengchun cai, Beijing, China
    Balaz, Marian, Germany
    Christian Nielsen, Vasa, Finland
    Klaudia Jadwiga Niepsuj, Gliwice, Poland
    Hurler, Ulrike, Heidenheim, Germany
    LUISGUILLERMOGUERRERO, BOGOTA, COLOMBIA
    u cuartas, augusta,ga
    Dr. Ahmet Faruk Aðan, Istanbul, Turkey
    HAISSAM NOURALLAH, DUBAI, UAE
    francesco di stefano, Sant'agata li battiati, Italy

    The Victoria Square in Timisoara, Romania
    Iulia Ratiu, Timisoara, Romania
    Mårten Lönnqvist, Vasa, Finland
    fahri akyuz, Izmit, Turkey
    PARABOLI SILVA, Marcio Luiz , SAO JOSE DO RIO PRETO-SP-, BRAZIL
    Dr.Virendra Parikh, Fort Wayne, Indiana, USA
    Pierre Gholam, Providence, RI
    Dr Munir Bishara, Melbourne, Victoria, Australia
    Peter J.Molloy, Pittsburgh, USA
    Janice Anderson, Port Orchard, USA Washington
    dongjun fan, Taiyuan, China
    Casey Kim, Walla Walla, WA, USA
    N B, Buenos Aires, Argentina
    amrani, Constantine, Algeria
    Reuben Jackson, Sydney, Australia
    Wissam Wadih Chalhoub, Boston, USA/MA
    wangyongjun, jinan, China
    Dr. Arber Veliu, Prishtina, Kosovo

Comments:

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So, please email Your images here

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