Heterotopic pancreas presenting as ileoileal intussusceptions–A rare case review

Dr. Mayank D. Chaudhari; Dr. Manoranjan Kuswaha; Dr. Maulik Bhadania; Dr. Meet Agrawal

Volume : IV, Issue : I, January - 2015

Heterotopic pancreas presenting as ileoileal intussusceptions–A rare case review

Dr. Mayank D. Chaudhari, Dr. Manoranjan Kuswaha, Dr. Maulik Bhadania, Dr. Meet Agrawal

Abstract :

BACKGROUND: A heterotopic pancreas as the lead point of ileo-ileal intussusception is extremely rare. A heterotopic pancreas (HP), a developmental anomaly, is defined as pancreatic tissue found on ectopic sites without contiguity with the main pancreas. CASE REPORT: A 17-year-old previously healthy boy, presented to the emergency room with the complaint of severe abdominal pain for the last 6-8 hours. A preoperative diagnosis of ileo-ileal intussusception was made on ultrasound and an emergency exploratory laparotomy was done. At laparotomy an ileo-ileal intussusception was found and a polyp noted as a lead point. On histopathology this polyp was found to be heterotopic pancreas. CONCLUSION: HP remains a rare cause of small bowel obstruction. Its management remains no different to that of intussusception from any cause and the possibility of malignant disease should always be remembered when planning surgery.