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Updated: Jul 31, 2026

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Published on: March 12, 2019
Ectopic pancreatic rests: a rare cause of persistent umbilical discharge
Insights
Ectopic pancreatic rests are rare findings. This study details two infant cases of ectopic pancreatic tissue in the umbilicus, identified during surgical exploration for persistent umbilical discharge.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Histopathology
Background:
- Ectopic pancreatic rests, though rare, can occur outside the pancreas.
- Umbilical abnormalities in infants warrant thorough investigation.
Observation:
- Two infants presented with persistent umbilical discharge and surrounding skin irritation.
- Surgical exploration revealed a sinus tract leading to a cyst in each infant.
- Histopathological examination confirmed the presence of both exocrine and endocrine pancreatic tissue within the excised cysts.
Findings:
- This study documents two new cases of ectopic pancreatic tissue in the umbilical region.
- The presentation involved umbilical discharge and peri-umbilical excoriation, leading to surgical intervention.
- Histopathology confirmed ectopic pancreatic tissue, adding to the limited literature on this condition.
Implications:
- Highlights the importance of considering ectopic pancreatic rests in infants with unusual umbilical presentations.
- Contributes to the understanding of rare congenital anomalies involving the umbilicus.
- Suggests that umbilical discharge in infants may, in rare instances, be indicative of ectopic pancreatic tissue requiring surgical management.
Abstract:
Ectopic pancreatic rests are rare. We report two cases discovered in infants who underwent surgical exploration of the umbilicus for persistent umbilical discharge with peri-umbilical excoriation. A shallow sinus leading to a firm cyst was excised in both infants, and histopathological study confirmed the presence of exocrine and endocrine pancreatic tissue. There is only one other case of ectopic umbilical pancreatic tissue reported, and this was in a patient presenting with an umbilical mass.
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