O. Sergelen, B. Goosh

Department of Surgery, School of Medicine,

Health Sciences University of Mongolia,

A 45 year old woman presented with severe epigastric pain. Previous history she had epigastric pain for a 5 years a on examination, she had a tenderness across the epigastrium. Exploration revealed a polyp 3 x 4 in the antrum of the major curve of the stomach.Diagnosis of polyp of the stomach was made. At operation the polyp was completely removed. Polyp histology was pancreatic ectopy, completely excised. The patient recovered fully, and after a barium swallow demonstrating an intact mucosa, was discharged on the tenth postoperative day. The patient recovered from symptoms and is in good condition 2 years later., Pancreatic ectopy are very rare, estimated at 0.5 % and 1.3 % respectively, in Mongolia 0.013% Duodenum, small bowel and bil tract are the frequently affected areas diagnosed only histologically . Histologic appearance is .identifical to pancreatic cell, cell of langergance and cell of pancreatic duct. Complication of the pancreatic ectopy is malignisation to the adenocarcinoma of stomach. Treatment is complete removal of the ectopy. Residual disease may lead to malignisation, and additional surgical procuders with added risk and complications.