Triple intussusception involving heterotopic pancreatic tissue: a case report

Triple intussusception involving heterotopic pancreatic tissue: a case report

Journal of Medical Case Reports 2009, 3:134
Published: December 2009
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Abstract
Introduction:
Intussusception involving heterotopic pancreatic tissue is a rare condition where a portion of the bowel telescopes into an adjacent segment with intraluminal pancreatic tissue as the lead point. Cases of heterotopic pancreas are most often described in the upper intestinal tract, particularly the stomach.

Case presentation:
We present the case of a five-month-old boy of Caucasian ethnicity suffering acute abdominal pain and vomiting with an abdominal mass in the upper right quadrant. Work-up including ultrasound scan confirmed the intussusception. Repeated attempts at radiological reduction and two laparoscopic procedures were performed within 24 hours, which eventually led to the diagnosis of a triple intussusception.

Conclusion:
To our knowledge, such a case of triple intussusception involving isolated heterotopic pancreatic tissue is previously unreported.

Introduction
Intussusception is a not uncommon surgical problem occurring in children. It is defined as a prolapse of part of the intestine into the lumen of an immediately adjoining part. In infants, this entity accounts for the most common cause of intestinal obstruction. It is often idiopathic and rarely caused by an abnormal process. A triple intussusception occurs when three separate segments telescope into the same distal segment.

Keywords:
ileocolic intussusception, small bowel intussusception, jejunal intussusception, intussusception small intestine, meckel's diverticulum, intestinal obstruction, heterotopic gastric mucosa, heterotopic panreatic tissue, ectopic pancreas

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