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Intussusception due to ectopic pancreatic tissue in a nine-month-old child
1Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara.
The Turkish Journal of Pediatrics
|October 1, 1992
Insights
A nine-month-old infant experienced ileo-colic intussusception due to a rare cause: ectopic pancreatic tissue. This finding highlights a critical differential diagnosis for pediatric bowel obstruction.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Pathology
Background:
- Intussusception is a common cause of bowel obstruction in infants and young children.
- Ectopic pancreatic tissue is a rare congenital anomaly that can occur anywhere along the gastrointestinal tract.
Observation:
- A nine-month-old male infant presented with symptoms of abdominal distention, irritability, and bilious vomiting.
- During surgery for ileo-colic intussusception, a 1 cm mass was identified at the antimesenteric border of the terminal ileum.
Findings:
- Pathological examination confirmed the mass to be ectopic pancreatic tissue.
- The ectopic pancreatic tissue was determined to be the likely cause of the intussusception.
Implications:
- This case underscores the importance of considering rare etiologies, such as ectopic pancreatic tissue, in the differential diagnosis of pediatric intussusception.
- Early identification and surgical management are crucial for favorable outcomes in infants with intussusception.
- Further research into the specific mechanisms by which ectopic pancreatic tissue induces intussusception may improve diagnostic and therapeutic strategies.
Abstract:
Ileo-colic intussusception was diagnosed in a nine-month-old male infant who presented with abdominal distention, irritability, and bilious vomiting. After reduction of the invaginated segment, a mass measuring one cm was palpated at the antimesenteric border of the terminal ileum. Pathological examination of the mass revealed ectopic pancreatic tissue, which most likely caused the intussusception.