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Heterotopic pancreas leading to ileo-ileal intussusception

Kn Ratan1, Mahavir Singh, Babita Rani

  • 1Departments of Pediatric Surgery, Pt. BD Sharma PGIMS Rohtak, Haryana, India.

APSP Journal of Case Reports
|September 7, 2012
PubMed

Insights

A rare case of ileo-ileal intussusception in a child was caused by a heterotopic pancreas acting as the lead point. This finding highlights an unusual cause for intestinal obstruction in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Medical Imaging

Background:

  • Intussusception is a common cause of intestinal obstruction in children.
  • A lead point is often identified in pediatric intussusception cases.
  • Heterotopic pancreas is pancreatic tissue found outside its normal location.

Observation:

  • A 12-year-old boy presented with severe abdominal pain.
  • Ultrasound suggested ileo-ileal intussusception.
  • Exploratory laparotomy revealed intussusception with a polypoid lead point.

Findings:

  • Histopathological examination confirmed the lead point was heterotopic pancreatic tissue.
  • This is an extremely rare cause of ileo-ileal intussusception.

Implications:

  • This case underscores the importance of considering rare lead points in pediatric intussusception.
  • Accurate preoperative diagnosis and surgical intervention are crucial.
  • Understanding rare etiologies aids in managing intestinal obstruction.

Keywords:
Heterotopic pancreasLead pointIntussusception

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