Ectopic pancreatic tissue - intramural in the gastric wall

Case contributed by Magnus Gren
Diagnosis certain

Presentation

Two days of fever and epigastric pain.

Patient Data

Age: 50 years
Gender: Female

Contrast enhanced CT shows an expansive lesion on the minor side of the gastric curvature. Probably intramural. Homogenous attenuation, possibly contrast enhancing.

Case Discussion

The finding was deemed incidental, unrelated to patient's presenting complaint.

The findings were considered a GIST until proven otherwise.

Biopsy performed through endoscopic ultrasound showed pancreatic tissue. Biopsy was repeated once more with the same result, thus confirming the diagnosis of ectopic pancreatic tissue in the gastric wall.

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