Accessory pancreas

For patient information click here

Bold text Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

WikiDoc Resources for Accessory pancreas

Articles

Most recent articles on Accessory pancreas

Most cited articles on Accessory pancreas

Review articles on Accessory pancreas

Articles on Accessory pancreas in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Accessory pancreas

Images of Accessory pancreas

Photos of Accessory pancreas

Podcasts & MP3s on Accessory pancreas

Videos on Accessory pancreas

Evidence Based Medicine

Cochrane Collaboration on Accessory pancreas

Bandolier on Accessory pancreas

TRIP on Accessory pancreas

Clinical Trials

Ongoing Trials on Accessory pancreas at Clinical Trials.gov

Trial results on Accessory pancreas

Clinical Trials on Accessory pancreas at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Accessory pancreas

NICE Guidance on Accessory pancreas

NHS PRODIGY Guidance

FDA on Accessory pancreas

CDC on Accessory pancreas

Books

Books on Accessory pancreas

News

Accessory pancreas in the news

Be alerted to news on Accessory pancreas

News trends on Accessory pancreas

Commentary

Blogs on Accessory pancreas

Definitions

Definitions of Accessory pancreas

Patient Resources / Community

Patient resources on Accessory pancreas

Discussion groups on Accessory pancreas

Patient Handouts on Accessory pancreas

Directions to Hospitals Treating Accessory pancreas

Risk calculators and risk factors for Accessory pancreas

Healthcare Provider Resources

Symptoms of Accessory pancreas

Causes & Risk Factors for Accessory pancreas

Diagnostic studies for Accessory pancreas

Treatment of Accessory pancreas

Continuing Medical Education (CME)

CME Programs on Accessory pancreas

International

Accessory pancreas en Espanol

Accessory pancreas en Francais

Business

Accessory pancreas in the Marketplace

Patents on Accessory pancreas

Experimental / Informatics

List of terms related to Accessory pancreas

## Overview

[edit | edit source]

Template:DiseaseDisorder infobox

Accessory pancreas is a rare condition in which small groups of pancreatic cells are separate from the pancreas. They may occur in the mesentery of the small intestine, the wall of the duodenum, the upper part of the jejunum, or more rarely, in the wall of the stomach, ileum, gallbladder or spleen. The condition was first described by Klob in 1859.[1]

Accessory pancreas is a small cluster of pancreas cells detached from the pancreas and sometimes found in the wall of the stomach or intestines.

## Classification

[edit | edit source]

### Locality

[edit | edit source]

In 1904, Dr. A. S. Warthin found 47 cases in the literature and added 2. Up to 1921, 31 cases were added. Twelve cases were found at operation. A number of patients have been operated upon for this trouble since then. E. J. Horgan found 2 cases in 321 consecutive autopsies.

#### Warthin

[edit | edit source]

Locality of Accessory Pancreas, A. S. Warthin, 1904:

Wall of stomach ………………… 14 Diverticulum of jejunum .......1
Wall of duodenum ………………. 12 Diverticulum of ileum ………………….… 4
Wall of jejunum …………………. 15 Meckel’s diverticulum …………………… 1
Wall of ileum ……………………. 1 Umbilical fistula ……………………….… 1
Wall of intestine …………………. 1 Mesenteric fat ……………………………. 1
Diverticulum of stomach …………. 1 Omentum ………………………………… 1

#### Horgan

[edit | edit source]

Locality of Accessory Pancreas, E. J. Horgan from 1904-1921:

Stomach ………………………….. 5 Small intestine .…………………………….1
Pylorus ……………………………. 2 Diverticulum of intestine …………………. 4
Jejunum ………………………….. 13 Diverticulum of duodenum ………………. 2
Duodenum ………………………... 3 Splenic capsule …………………………… 1
Ileum ……………………………… 1

## Diagnosis

[edit | edit source]

As a nurse,inquire about the patient’s general health status because pancreatic disorders are often accompanied by weakness and fatigue. The past Medical history may reveal previous disorders of the biliary tract or duodenum, abdominal trauma or surgery, and metabolic disorders suck as diabetes mellitus. The medication history should be detailed and specifically include the use of thiazides, furosemide, estrogens, corticosteroids, sulfonamides, and opiates. Note a family history of pancreatic disorders. In the review of systems, obtain a complete description of any pain in the upper abdomen or epigastric area. Symptoms that may be important in relation to pancreatic disorders are pruritus, abdominal pain, dyspnea, nausea, and vomiting. The functional assessment includes data about the patient’s dietary habits and use of alcohol.

Note any restlessness, flushing, or diaphoresis during the examination. Vital signs may disclose low-grade fever, tachypnea, tachycardia, and hypotension. Inspect the skin for jaundice. Assess the abdomen for distention, tenderness, discoloration, and diminished bowel sounds.

Tests and procedures used to diagnose pancreatic disorders include laboratory analyses of blood, urine, stool, and pancreatic fluid, and imaging studies. Specific blood studies used to assess pancreatic function include measurements of serum amylase, lipase, glucose, calcium, and triglyceride levels. Urine amylase and renal amylase clearance tests may also be ordered. Stool specimens may be analyzed for fat content. The secretin stimulation test measures the bicarbonate concentration of pancreatic fluid after secretin is given intravenously to stimulate the production of pancreatic fluid.

## Treatment

[edit | edit source]

Treatment of accessory pancreas depends on the location and extent of the injured tissue. Surgery may be an option, or some physicians order prophylactic antibiotics.

## References

[edit | edit source]

1. ↑ Klob J. Pancreas accessorium. Zeitschrift der Kaiserl. Königl. Gesellschaft der Aerzte zu Wien 1859; 15:732.

* Davis F. A. (2001). Taber’s Cyclopedic Medial Dictionary. [Edition 19].

Template:Congenital malformations and deformations of digestive system

Template:WikiDoc Sources