Intraductal papillary mucinous neoplasm originating from a jejunal heterotopic pancreas: report of a case

Surg Today. 2014 Feb;44(2):349-53. doi: 10.1007/s00595-012-0486-0. Epub 2013 Jan 18.

Abstract

We report a rare case of an intraductal papillary mucinous neoplasm (IPMN) originating from a jejunal heterotopic pancreas, found incidentally during surgery. A 75-year-old woman was referred to our department for surgical treatment of an abdominal aortic aneurysm (AAA) and a concurrent oropharyngeal tumor. During surgery to correct the AAA, we found a jejunal tumor incidentally and performed partial resection of the jejunum. Microscopically, the jejunal tumor showed dilated ducts containing intraluminal papillae lined with mucinous epithelium with low-grade cytological and architectural atypia within the pancreatic tissue. Immunohistochemical staining revealed MUC1 (-), MUC2 (-), MUC5AC (+), and MUC6 (-) proteins. To the best of our knowledge, only six cases of IPMN originating from a heterotopic pancreas have been reported in English, and this is the first report of an IPMN originating from a jejunal heterotopic pancreas.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma, Mucinous / complications
  • Adenocarcinoma, Mucinous / surgery*
  • Aged
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / surgery
  • Carcinoma, Pancreatic Ductal / complications
  • Carcinoma, Pancreatic Ductal / surgery*
  • Choristoma*
  • Female
  • Humans
  • Incidental Findings
  • Jejunal Diseases*
  • Neoplasms, Multiple Primary*
  • Oropharyngeal Neoplasms / complications
  • Oropharyngeal Neoplasms / surgery
  • Pancreas*
  • Pancreatic Neoplasms / complications
  • Pancreatic Neoplasms / surgery*