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- W1567055629 abstract "eterotopia is the presence of tissues that are not normally found in the area. The most important of these is heterotopic or aberrant pancreatic tissue, which is a rare congenital anomaly of the gastrointestinal tract. It is usually asymptomatic and commonly encountered at autopsy or surgery in 2-10% of cases 1,2 especially in the gastric antrum. Other reported locations include ileum, Meckel's diverticulum, spleen, umbilicus, bile ducts, ampulla of Vater, major duodenal papilla, colon, mesentery and even the omentum. 3 There is less than 30 reported cases of aberrant pancreas in the gall bladder wall in the reviewed world English literature. We report here a case of a 23-year-old Saudi housewife presented with 4-month history of intermittent upper abdominal pain, which radiates to the back and was associated with fatty food intolerance. The pain became very severe and was associated with nausea and vomiting a day prior to admission. She denied any history of jaundice, sickle cell disease and was not on the oral contraceptive pill. Clinically she was not jaundiced or pale and had no lymphadenopathy. The abdomen was tender to deep palpation in the right upper quadrant but no guarding or rigidity. Routine blood investigations revealed no leukocytosis, and liver function test was normal. Ultrasound examination revealed slightly thickened gall bladder wall with no pericholecyst ic fluid. The gall bladder contained multiple gallstones, and common bile duct was normal in size. She was diagnosed as biliary colic, settled on conservative treatment and was discharged 2 days later. She was readmitted as an emergency a week later with severe right upper quadrant pain, which radiated to the back. She underwent an uneventful laparoscopic cholecystectomy of an" @default.
- W1567055629 created "2016-06-24" @default.
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- W1567055629 date "2003-08-01" @default.
- W1567055629 modified "2023-09-27" @default.
- W1567055629 title "Heterotopic pancreas in the gall bladder." @default.
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