Digestive Diseases and Sciences

, Volume 60, Issue 4, pp 835–837 | Cite as

Gastric Outlet Obstruction Caused by Heterotopic Pancreas in an Adolescent

  • Alexis A. Rodriguez
  • William Berquist
  • David Bingham
Stanford Multidisciplinary Seminars

Case Presentation and Evolution

A 16-year-old previously healthy girl was referred to a community-based pediatric gastroenterologist with a 6-month history of epigastric pain, nausea, and nonbilious emesis. The pain and vomiting worsened with eating, occurred mostly at nighttime, but did not wake her from sleep. During this time, she also complained of abdominal distention, bloating, and heartburn. Two months prior to the onset of these symptoms, she experienced a presumed viral illness with fever, sore throat, and fatigue lasting 3 days. Testing for streptococcal pharyngitis and infectious mononucleosis was negative at that time. Her past medical history was only significant for migraine headaches. She was an honor student and cheerleader at a competitive high school. Her physical examination was normal as were a comprehensive metabolic panel, measurement of serum inflammatory markers, and serum amylase and lipase levels.

A normal abdominal ultrasound and a gastric emptying study with...


Ondansetron Gastric Outlet Obstruction Gastric Outlet Obstruction Hypertrophic Pyloric Stenosis Heterotopic Pancreas 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Alexis A. Rodriguez
    • 1
  • William Berquist
    • 1
  • David Bingham
    • 2
  1. 1.Division of Pediatric Gastroenterology, Hepatology and Nutrition, Lucile Packard Children’s HospitalStanford University Medical CenterStanfordUSA
  2. 2.Department of Surgical PathologyStanford University Medical CenterStanfordUSA

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