97 × 1.40 cm with no crossing of layers. EUS-FNA (GF-UCT-140-AL5, Olympus, Tokyo, Japan) was performed initially with 3 passes using the 19 G ProCore buy CP-690550 needle (Cook Medical Inc, Limerick Ireland). Decision was made to switch to 25 G needle (Cook Medical Inc, Limerick Ireland) as only blood was seen on the smears from the core needle and 2 extra passes performed. The procedure was uneventful. Eight hours after procedure, patient presented with sudden onset epigastric pain. Physical examination was unremarkable. Blood investigation showed raised amylase and lipase
at 302 U/L (33–126) and more than 400 U/L (14–40) respectively. Pain resolved with 75 mg of diclofenac sodium given via intramuscular route. Results: Abdominal computer tomography was performed four days later, and showed stranding of the fat adjacent to the SMT suggestive of inflammation. The histologic later showed benign yield of acinar and ductal epithelial cells, the cores of tissue shows lobules of pancreatic parenchyma composed of acinar cells and occasional ducts and fibrous stroma. The features are consistent with diagnosis of benign pancreatic tissue and pancreatic heterotropia.
Conclusion: Pancreatic heterotopia is presence of pancreatic tissue outside of its usual location, without structural or vascular continuity with pancreas proper. Similar to the pancreas proper, Temozolomide clinical trial acute pancreatitis can also occur in patients with pancreatic heterotopia undergoing EUS-FNA. Key Word(s): 1. Ectopic pancreas; 2. FNA; 3. Ultrasound; 4. Endoscopic; Presenting Author: GANG LI Additional
Authors: HUI-ZHEN FAN, PING XIE, JIAN-WEN SHENG, GU-PING ZHONG Corresponding Author: GANG LI Affiliations: Jiangxi Yichun People’s Hospital Objective: To evaluate the relationship between adenomyomatosis of the gallbladder (GBA) and the postcholecystectomy diarrhoea (PCD). Methods: 33 patients of cholecystectomy with pathologically proved GBA were included in this study. The mean age was 51.2 years old, and male (n = 15), female (n = 17), diffuse type (n = 12), localized type (n = 3), associated with cholecystolithiasis (n = 2), cholecystitis PTK6 (n = 8) and gallbladder polyps (n = 5). 55 cholecystectomy patients (the mean age: 53.4,) were as the control group with male 26 cases, female 29 cases, cholecystolithiasis 27 cases, cholecystitis 16 cases and gallbladder polyps 12 cases, which were not proved GBA by pathology. This study analyzed the preoperative gallbladder contraction function, gallbladder sonography and the postoperative follow-up of 6 months to 12 months with gastrointestinal symptom rating scale (GSRS). Diagnostic Criteria of the postcholecystectomy diarrhoea (PCD): patients with a history of cholecystectomy, preoperative didn’t have a diarrhea history, but postoperative had, the routine examination was normal. Results: There was the statistically significant difference in two groups’ thickness of gallbladder wall, the observation group (0.3–1.