ABERRANT PANCREAS: A RARE CAUSE OF EPIGASTRALGIA

Abstract

Objective: The Authors report their experience about a case of aberrant pancreas that lead epigastralgia.

Design: Report of 1 case and endoscopic treatment (upper endoscopy + EUS + endoscopic polipectomy + endoscopic biopsy of the base. Surgical effectiveness evaluation.

Setting: Section of General and Thoracic Surgery.  Department of General Surgery, Emergency and Organ Transplantation. Policlinico “Paolo Giaccone”, Palermo.

Intervention: After correct and sure diagnosis, the patient was submitted to endoscopic polipectomy with radical and curative intention.

Results: Complete recovery. Hematochemical and endoscopic follow-up (1 months) negative.

Conclusions: Diagnosis of aberrant pancreas is very hard and always post-resection. Symptoms are poor and makes the clinical diagnosis extremely difficult, except when the mass attains big dimension (>5 cm). The best treatment of aberrant pancreas is based on correct diagnosis (upper endoscopy + EUS + FNAB) and on a radical treatment that, if the lesion is mucosal, is totally endoscopic (endoscopic polipectomy), without specific risk.