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Isolated Ileal Pancreatic Heterotopia Causing Intussusception with Gangrene
Jegadeesh Sundaram1, Prema Menon, Vinod Kumar
11Department of Pediatric Surgery.
Insights
Heterotopic pancreatic tissue in the ileum rarely causes intussusception in children. This condition can lead to gangrene, likely due to pancreatic exocrine secretions, as seen in two pediatric cases.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Pathology
Background:
- Intussusception is a common surgical emergency in children.
- Ileal heterotopic pancreatic tissue is an exceedingly rare lead point for intussusception.
Observation:
- Two pediatric cases of intussusception (ileoileal and ileocolic) are presented.
- Both cases involved gangrene, a severe complication.
Findings:
- Isolated ileal heterotopic pancreatic tissue was identified as the lead point in both intussusceptions.
- A literature review suggests a higher prevalence of gangrene in intussusception cases with pancreatic tissue.
Implications:
- Pancreatic exocrine tissue may contribute to the high rate of gangrene observed in these rare intussusception cases.
- Early recognition and surgical management are crucial for pediatric intussusception with rare lead points.
Abstract:
Isolated ileal heterotopic pancreatic tissue as a lead point of intussusception in children is extremely rare. We report a 6-month-old female with ileoileal intussusception and a 4-year-old female with ileocolic intussusception both associated with gangrene. A review of literature suggests a higher prevalence of gangrene probably secondary to the pancreatic exocrine tissue.
