New Image

The images illustrate an interesting case that I saw recently. This young male patient had a long history of recurrent pancreatitis of unknown etiology. He was otherwise healthy. A Whipple's procedure was performed and we found an area of thickening in the wall of the duodenum adjacent to the Ampulla of Vater (gross image) which turned out to be ectopic pancreas (micro image). Notice in the gross image that the pancreatic tissue is between the mucosa and serosa. The bile and pancreatic ducts were markedly ectatic and the pancreas was diffusely fibrotic.