Heterotopic Pancreas: A Rare Cause of Gastrointestinal Bleeding in Children
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Heterotopic pancreas is a rare condition of aberrant/ectopic pancreatic tissue with no anatomical or vascular connection to the pancreas. Symptomatic presentation in children is unusual. We discuss two cases presenting with upper gastrointestinal (GI) bleeding. After extensive investigation, both were subsequently found to have gastric antral pancreatic heterotopia.
A 4-month-old male infant presented with an acute history of hematemesis and malena. Clinical examination and baseline blood tests including full blood count (FBC) and clotting profile were normal. A working diagnosis of gastroesophageal reflux (GER) with possible cow’s milk protein intolerance (CMPI) was made, and the child was discharged home on a cow’s milk exclusion diet and oral Ranitidine.
KeywordsHeterotopic pancreas Malena Hematemesis Gastrointestinal (GI) bleeding Esophagogastroduodenoscopy (EGD) Video capsule endoscopy
Each author has substantially contributed to the manuscript and approved the final version.
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Conflict of interest
The authors have no conflicts of interest to disclose.