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Published on: February 9, 2024
Adult intussusception caused by heterotopic pancreas
Va-Kei Kok1, Teh-Kuang Wang, Nan-Hon Lin
1Department of Emergency Medicine, Taipei County Hospital, Taipei, Taiwan. kokvakei@ms29.hinet.net
Abstract:
Heterotopic pancreas causing small bowel intussusception is rare. We report the case of a 24-year-old woman who presented with intermittent episodes of abdominal cramping and pain that had persisted for 10 days. A target-shaped lesion consisting of multiple concentric rings was found on the left side on contrast-enhanced computed tomography. Surgical intervention demonstrated jejunal intussusception caused by a jejunal heterotopic pancreas. Microscopically, several nesidioblastoses of pancreas were identified. Although very rare, small intestinal pancreatic rests may cause subacute bowel obstruction.
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