Diagnosis and laparoscopic treatment of ileoileal intussusception secondary to heterotopic pancreas in an infant: case report and review of the literature

Seifarth, Federico G.; Ryan, Mark L.; Triana, Jason; Knight, Colin G.

doi:10.1016/j.jpedsurg.2010.10.025

Cited by 19 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Intussusception is a common cause of intestinal obstruction in children, and over 56/100,000 cases have been reported. [1][2][3] Intussusception occurs when a segment of the intestine folds like a telescope, with one segment slipping into another. The major cause of intussusception is idiopathic and may be related to the hypertrophy of Peyer' s patches after a viral infection.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Laparoscopic Surgery for Intussusception in Pediatric Patients and Risk of Bowel Resection

Song

Nam

2018

J Minim Invasive Surg

View full text Add to dashboard Cite

Intussusception is a common cause of intestinal obstruction in children. While most patients can be treated by enema reduction, about 20% require surgery. We investigated the usefulness and feasibility of laparoscopic surgery and the intraoperative risk of bowel resection. Methods: We retrospectively reviewed pediatric patients who underwent surgery for intussusception from 2010 to 2017. We collected data for age, gender, body weight, associated symptoms, duration of symptoms, white blood cell count, operating time, and postoperative complications. Results: Of 155 patients, 37 (23.8%) underwent surgery due to enema reduction failure in 29 (78.3%), recurrence in 6 (16.3%), a suspicious lead point in 1, and suspicious ischemic change observed on ultrasonography in 1. The mean age was 26.8±18.9 months (range, 3.5~76.7 months), and the mean body weight was 12.9±3.9 kg (range, 5.4~22.2 kg). Laparoscopic surgery was successful in 29 patients (78.4%), and 7 (18.9%) needed bowel resection and anastomosis. The mean operating time was 56.7±32.8 min. A lead point was found in 3 patients in the bowel resection group (p=0.005); in addition, the operating time and hospital stay were longer in this group. There were no intra-or postoperative complications. Conclusion: Laparoscopic surgery was successful in 78.4% of the patients with a short hospital stay and early oral intake. The only predictive factor for bowel resection was the presence of a lead point. Laparoscopic surgery may be an optimal treatment intervention for children with intussusception, except for those who show initial peritonitis.

show abstract

Section: Introductionmentioning

confidence: 99%

Feasibility of Laparoscopic Surgery for Intussusception in Pediatric Patients and Risk of Bowel Resection

Song

Nam

2018

J Minim Invasive Surg

View full text Add to dashboard Cite

show abstract

“…Intussusception in pediatric age group is usually idiopathic in origin, with pathological lesion at the lead point being identified in a very small proportion of cases [4,5]. The incidence of a pathologic process as the leading point of intussusception varied from 2-12% in the previous studies in literature [6].…”

Section: Discussionmentioning

confidence: 99%

Isolated ileal heterotopic pancreas in a child: A clinically undetected cause of ileoileal intussusception

Verma¹,

Bansal²,

Manchanda³

et al. 2014

IJCRI

View full text Add to dashboard Cite

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comIsolated ileal heterotopic pancreas in a child: A clinically undetected cause of ileoileal intussusception Sarika Verma, Pankaj Bansal, Vivek Manchanda, Ruchika Gupta ABSTRACT Introduction: Pancreatic heterotopia has been described most frequently in stomach and duodenum. Isolated occurrence of heterotopic pancreas in ileum is exceptional and is usually discovered incidentally during surgery. In rare cases, heterotopic pancreas has been reported as a lead point of ileoileal intussusception. Case Report: A one-year-old boy was presented with recent onset of constipation and abdominal distention. Radiologic investigation suggested a diagnosis of midgut volvulus with ileoileal intussusception. Resection anastomosis of the intussusception was performed. Histologic examination of the resected specimen showed heterotopic pancreas in the wall of intussusceptum at its tip. No other significant pathology was found. Conclusion:Ileal heterotopic pancreas is a rare cause of intussusception at any age and is usually not evident clinically. Hence, careful examination of the lead point of intussusceptum in resection specimens is mandatory to delineate the underlying etiology of these cases.

show abstract

“…The median age of presentation is around 12 months (interquartile range of 6.5 to 41 months), with the youngest case being at 2 months. (Table 1) [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Most patients with ileal heterotopic pancreatic tissue, without Meckel's diverticulum are asymptomatic and usually tends to be revealed incidentally during surgery for other indications [5]. They may present with lower gastrointestinal bleeding, irritability or recurrent abdominal pain due to intussusception [6,7].…”

Section: Discussionmentioning

confidence: 99%

Isolated Ileal Pancreatic Heterotopia Causing Intussusception with Gangrene

Sundaram¹,

Menon²,

Kumar³

et al. 2015

Fetal and Pediatric Pathology

View full text Add to dashboard Cite

show abstract

Diagnosis and laparoscopic treatment of ileoileal intussusception secondary to heterotopic pancreas in an infant: case report and review of the literature

Cited by 19 publications

References 25 publications

Feasibility of Laparoscopic Surgery for Intussusception in Pediatric Patients and Risk of Bowel Resection

Feasibility of Laparoscopic Surgery for Intussusception in Pediatric Patients and Risk of Bowel Resection

Isolated ileal heterotopic pancreas in a child: A clinically undetected cause of ileoileal intussusception

Isolated Ileal Pancreatic Heterotopia Causing Intussusception with Gangrene

Contact Info

Product

Resources

About