A heterotopic pancreas as the lead point of ileo-ileal intussusception is extremely rare. A 26year old male patient previously healthy male, presented to the emergency room with the complaint of pain in the lower abdomen since 2 weeks, colicky type, progressive in nature, associated with melena for 5 days and nonbilious vomiting for 3 days. A preoperative diagnosis of ileo-ileal intussusception was made on ultrasound and cect abdomen and an emergency exploratory laparotomy was done. At laparotomy an ileo-ileal intussusception was found and a polyp noted in distal ileum as a lead point. On histopathology this polyp was found to be heterotopic pancreas.
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