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Meckel's diverticulum with ectopic pancreatic and epididymal tissue in a newborn infant

Sana Ahuja1, Shaivy Malik1, Sufian Zaheer1

  • 1Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

International Journal of Surgery Case Reports
|February 14, 2025
PubMed
Abstract

Insights

This case report details a rare instance of ectopic pancreatic and epididymal tissue found in a newborn’s Meckel’s diverticulum. Early diagnosis and surgical intervention are crucial for managing neonatal abdominal obstruction.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Histopathology

Background:

  • Meckel's diverticulum, a congenital anomaly from incomplete omphalomesenteric duct closure, affects ~2% of the population.
  • While often asymptomatic, it can lead to complications like obstruction and bleeding.
  • Ectopic tissues, including gastric and pancreatic, are occasionally found within Meckel's diverticulum.

Observation:

  • A term male newborn presented with abdominal distension and bilious vomiting.
  • Ultrasound revealed a structure suggestive of Meckel's diverticulum.
  • Surgical resection and subsequent histological examination confirmed ectopic pancreatic and epididymal tissue within the diverticulum.

Findings:

  • The coexistence of ectopic pancreatic and epididymal tissue in Meckel's diverticulum is exceptionally rare.
  • The embryological origin of this dual ectopic tissue is currently unclear.
  • Histopathological examination is critical for definitive diagnosis.

Implications:

  • This case highlights the diverse range of ectopic tissues that can occur in Meckel's diverticulum.
  • Ectopic tissue in Meckel's diverticulum must be considered in the differential diagnosis of neonatal abdominal obstruction.
  • Prompt surgical intervention is vital for effective management and improved patient outcomes.
Keywords:
EctopicEpididymalMeckel's diverticulumNewbornPancreatic

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