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Heterotopic pancreas in Meckel's diverticulum causing perforation in an infant: a case report

Junjie Zhou1, Hongbin Zhang1, Qianming Xiang1

  • 1Department of Pediatric Surgery, The First Affiliated Hospital of Kunming Medical University, 295 Xichang Road, Wuhua, Kunming, Yunnan 650032, P.R. China.

Journal of Surgical Case Reports
|June 3, 2024
PubMed

Insights

Heterotopic pancreas in Meckel's diverticulum is a rare cause of infant perforation. Early surgical intervention is critical for diagnosis and preventing complications in infants with acute abdominal pain.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Meckel's diverticulum complications, such as perforation, are rare.
  • Heterotopic pancreas is an uncommon cause of Meckel's diverticulum-related emergencies.

Observation:

  • A rare case of an infant presenting with Meckel's diverticulum perforation due to heterotopic pancreas is described.
  • Infants with unexplained acute abdominal pain require high suspicion for congenital gastrointestinal anomalies.

Findings:

  • Preoperative diagnosis of Meckel's diverticulitis and heterotopic pancreas is challenging, often confirmed during surgery.
  • Perforation in infants due to these conditions is exceptionally rare, with symptoms typically appearing later in childhood.

Implications:

  • Prompt exploratory laparotomy or laparoscopy is essential for infants with suspected gastrointestinal emergencies.
  • Early diagnosis and surgical management can prevent severe complications and confirm rare diagnoses like heterotopic pancreas in Meckel's diverticulum.
Keywords:
Meckel's diverticulumheterotopic pancreasinfantperforation

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