Intussusception Associated With Aberrant Pancreatic Tissue

Keeley, John L.

doi:10.1001/archsurg.1950.01250010712005

Cited by 20 publications

(5 citation statements)

References 7 publications

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“…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

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Section: Discussionmentioning

confidence: 99%

Isolated Ileal Pancreatic Heterotopia Causing Intussusception with Gangrene

Sundaram¹,

Menon²,

Kumar³

et al. 2015

Fetal and Pediatric Pathology

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“…Ectopic pancreas rarely produces clinical symptoms and symptomatic patients usually have lesions in the stomach or duodenum (Lai, 1986). When becoming symptomatic in the small intestine, pancreatic tissue frequently causes intussusception with consequent bowel obstruction (Keeley, 1950; Carleton and Ackerbaum, 1976). The site most commonly affected by ectopic pancreatic tissue, following the stomach, duodenum, and jejunum, is Meckel's diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Ectopic pancreas, intussusception, and a ruptured mesenteric band: An unusual association

et al. 2010

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Although ectopic pancreas and intussusception are not unusual conditions, intussusception caused by ectopic pancreas is extremely rare. Its presence along with a ruptured congenital mesenteric vascular band raises the possibility of an anomaly of the vitelline vascular system. We report the case of a 26-year-old man presenting with acute abdominal pain, vomiting, and diarrhea. CT scan showed a large amount of free fluid in his abdomen and an ileo-ileal intussusception. At laparotomy he was found to have hemoperitoneum with a ruptured, actively bleeding congenital band attached to the ileal mesentery, which was ligated, with ileo-ileal intussusception that was resected. Histopathology showed ectopic pancreatic tissue as the lead point for the intussusception. It was likely to be a ruptured mesodiverticular band and along with other findings suggested a constellation of anomalies of the vitello-intestinal tract.

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“…2,7 The symptoms it causes include epigastric pain (77%), abdominal fullness (30%), and tarry stools (24%) due to ulceration, intussusception, and obstruction. 3,[8][9][10] Histologically, it consists of welldifferentiated duct-like structures, some of which may be dilated. Acinar tissue is almost invariably present to some extent, although islets are found in only 30% of cases.…”

Section: Discussionmentioning

confidence: 99%

Gastric Outlet Obstruction Caused by a Heterotopic Pancreas in a Pregnant Woman: Report of a Case

et al. 2003

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A 26-year-old Japanese woman who was 23 weeks pregnant presented with nausea, vomiting, and abdominal pain. Gastroduodenal endoscopic examination revealed an oval-shaped submucosal tumor obstructing the gastric outlet at the prepyloric area in the stomach. Magnetic resonance imaging showed a 5-cm cystic tumor and we suspected a degenerated gastrointestinal stromal tumor. No other radiological tests were done because of the associated risks to the fetus. Distal gastrectomy was performed and a histological diagnosis of heterotopic pancreas was confirmed. The patient had an uneventful postoperative course and was discharged 19 days after her operation. She delivered a healthy, full-term male infant 3 months later. This case of an ectopic pancreas obstructing the gastric outlet in a pregnant woman is reported and discussed due to its rarity.

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Intussusception Associated With Aberrant Pancreatic Tissue

Cited by 20 publications

References 7 publications

Isolated Ileal Pancreatic Heterotopia Causing Intussusception with Gangrene

Isolated Ileal Pancreatic Heterotopia Causing Intussusception with Gangrene

Ectopic pancreas, intussusception, and a ruptured mesenteric band: An unusual association

Gastric Outlet Obstruction Caused by a Heterotopic Pancreas in a Pregnant Woman: Report of a Case

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