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[Jejunal intussusceptions as a lead point ectopic pancreatic tissue in a 1-year-old male. Case report]

Alfonso Galván-Montaño1, Maria de Lourdes Suárez-Roa, María del Rocío Estrada-Hernández

  • 1División de Cirugía Pediátrica, Hospital General Dr. Manuel Gea González, Tlalpan, D.F. México, México. gamagq3@hotmail.com

Cirugia Y Cirujanos
|January 23, 2013
PubMed

Insights

Jejunal intussusception, a rare condition in children, typically presents with abdominal pain and vomiting. This case highlights ectopic pancreatic tissue as an unusual lead point requiring surgical intervention.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is the leading cause of acute bowel obstruction in young children, with an incidence of 1.5-4 per 1,000 live births.
  • While ileocecocolic intussusception is common, jejunal intussusception in children is exceptionally rare.

Observation:

  • A 1-year-old male presented with diarrhea, irritability, and a history of melena.
  • Initial treatment included antibiotics and acid suppression; however, the patient later developed melena and rectal bleeding.
  • Abdominal radiography revealed air-fluid levels, prompting surgical exploration.

Findings:

  • Surgery identified and reduced jejunal intussusceptions.
  • A small tumor, identified as ectopic pancreatic islet cells, was found to be the lead point.
  • This represents a rare etiology for pediatric jejunal intussusception.

Implications:

  • Jejunal intussusception in children, though rare, necessitates prompt diagnosis and surgical management.
  • Ectopic pancreatic tissue is an uncommon but significant lead point for intussusception.
  • Early identification of lead points is crucial for effective surgical outcomes in pediatric intussusception.
Abstract

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