0:01

This is a very interesting case,

0:02

patient presenting with recurrent pain abdomen episodes

0:04

of pancreatitis, and see what we have in this case.

0:09

So, this is T2-weighted, non-fat

0:12

suppressed images on axial, and we can see

0:14

a classical appearance of the pancreas.

0:17

As we move further, we are still dealing with the

0:20

stomach, and as soon as we reach the stomach

0:24

pylorus and antrum region, we see a cystic lesion,

0:27

which is lying just along with the

0:29

anterior aspect of the stomach.

0:31

And as we scroll through, we see the similar kind

0:34

of tissue, like pancreas, situated underneath the

0:38

surface of the gastric antrum and the pylorus.

0:41

And there are some cystic areas,

0:43

like a chain of balls here, along with the

0:47

underneath surface of that cystic lesion.

0:50

And as we scroll further, we can see

0:52

actually this is a communication between

0:54

the pancreatic tissue and the similar

0:56

tissue which is lying in that area.

0:58

And that tissue actually has different branching

1:02

of the ductal pattern, which is kind of

1:03

haphazardly located throughout the parenchyma.

1:06

And they actually communicate

1:08

with the main pancreatic duct.

1:09

So if you look, keep looking here on the main

1:12

pancreatic duct, it actually communicates

1:14

with the ductal system within

1:16

this complex arrangement of the tissue

1:18

underneath the surface of the stomach.

1:20

So this is actually a case of ectopic pancreas,

1:22

which is lying inside the wall of the stomach.

1:25

Okay.

1:25

Thanks.

1:25

And that is leading to multiple episodes

1:27

of recurrent pancreatitis, and this cyst

1:30

which we are seeing in the wall

1:31

of the stomach is basically a pseudocyst.

1:34

We can see the same finding on

1:35

the coronal and find it better.

1:38

Coronal, once we scroll down, we can

1:39

see the tissue going along with the

1:42

stomach and that complex ductal pattern

1:46

that drains towards the cyst we have

1:48

just described in the previous sequence.

1:51

So, ectopic tissue of the

1:53

pancreas can be located anywhere.

1:55

Sometimes they are within

1:56

the wall of the duodenum.

1:57

Sometimes they are situated

1:58

in the wall of the stomach.

1:59

And that can lead to pancreatitis.