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Isolated heterotopic pancreas causing intussusception.

Y Hamada¹, Y Yonekura, A Tanano

¹Second Department of Surgery, Kansai Medical University, Moriguchi City, Osaka, Japan.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|September 12, 2000

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Pediatric intussusception cases are rarely caused by isolated ileal heterotopic pancreas. This study reports three new pediatric cases of this rare condition, highlighting its clinical significance.

Area of Science:

Gastroenterology
Pediatric Surgery

Background:

Pediatric intussusception is typically idiopathic, with pathological lead points identified infrequently.
Meckel's diverticulum is the most common pathological lead point in pediatric intussusception.
Heterotopic pancreas is most often found in the stomach or duodenum; ileal locations are rare.

Observation:

Ileal heterotopic pancreas typically presents secondary to Meckel's diverticulum, potentially causing intussusception.
Isolated heterotopic pancreas in the ileum is exceptionally rare and often an incidental surgical finding.
Literature review revealed limited pediatric cases of isolated ileal heterotopic pancreas causing intussusception.

Findings:

This report details three additional pediatric cases of isolated ileal heterotopic pancreas causing intussusception.

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The study contributes to the scarce literature on this specific etiology of pediatric intussusception.

Implications:

Understanding this rare entity is crucial for accurate diagnosis and management of pediatric intussusception.
Highlights the importance of considering unusual lead points in pediatric intestinal obstruction.
Further research may elucidate the pathogenesis and optimal treatment strategies for isolated ileal heterotopic pancreas.