Saudi Journal of Pathology and Microbiology (SJPM)
Volume-4 | Issue-01 | 31-34
Case Report
Ectopic Pancreatic Tissue Associated with Choledochal Cyst Type IV A in a 21 Years Old Female: Case Report
Dr. Sushil Kumar Shukla, Dr. Meena Harsh, Dr. Babar Rehmani, Dr. Manveer Kaur Raina
Published : Jan. 30, 2019
Abstract
Ectopic pancreas is an abnormal condition of embryological origin. The relationship of ectopic pancreatic tissue
associated with choledochal cyst is extremely rare condition. The most commonly reported cases of ectopic pancreatic
tissue are located in the upper GI (gastrointestinal) tract with most frequent site is stomach, followed by the duodenum
and the jejunum. The clinical implication of the presence of ectopic pancreas in the choledochal cyst is remain unclear
but it’s predicted risk for developing futher complications, especially pancreatic malignancy should always be
considered. Ectopic pancreatic tissue can be diagnosed at all ages, males are frequently associated but a higher incidence
of ectopic pancreas in the gallbladder is found in females and most incidence lies between the thirty to sixty years of life.
The purpose of the present case is to present the clinical, and histopathological features of ectopic pancreatic tissue
associated with choledochal cyst of 21 years old female. However, the basic concept of occurrence of ectopic pancreatic
tissue is contentious. To conclude, the ectopic pancreatic tissue associated with choledochal cyst may be an evidence of
its embryological association and it’s greater risk for development of further complications, especially development of
pancreatic malignancy. The present case should be considered for long term follow up as only doing cystectomy will not
provide full protection against the development of pancreatic malignancy.