Heterotopic Pancreas Presenting as Gastric Polyp

Heterotopic pancreas is defined as pancreatic tissue found outside the usual anatomical location of the pancreas. It is often an incidental finding and can be found at different sites in the gastrointestinal tract. It may become clinically evident when complicated by pathological changes such as inflammation, bleeding, obstruction, and malignant transformation. We report an unusual case of a 25-year-old male patient with pain epigastrium caused by a polyp at the body of stomach along greater curvature revealed at endoscopy. Endoscopic biopsy was s/o inflammatory pathology. Wide excision of polyp was done and a histological diagnosis of heterotopic pancreas was established. The difficulty of making an accurate preoperative diagnosis is highlighted.