Ectopic pancreatic tissue

Case contributed by Dr Jens Christian Fischer

Presentation

Patient with known ulcerative colitis. MRI and CT scan during diagnostic work up.

Patient Data

Age: 34
Gender: Male
MRI

The MRI scan clearly depicts classical signs of ulcerative colitis like the loss of haustral markings (lead pipe sign).

But there is an additional finding. A mass in the fat tissue adjacent to the ascending part of the duodenum. In every sequence the mass shows exactly the same signal intensity and enhancement pattern like the pancreatic tissue. The finding is therefore consistent with ectopic pancreatic tissue.

CT

There is a loss of haustral markings (lead pipe sign), the patient has a known chronic ulcerative colitis.

But as in the MRI scan above, the mass in the fat tissue adjacent to the ascending part of the duodenum looks exactly the same as the normal pancreatic tissue. The finding is therefore still consistent with ectopic pancreatic tissue.

Annotated image

Red circle highlights position of ectopic pancreatic tissue on MR and CT. 

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Case information

rID: 31450
Case created: 9th Oct 2014
Last edited: 11th Sep 2015
Inclusion in quiz mode: Included

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