Jejunal Intussusception Due to Heterotopic Pancreas: A Case Report

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2021 May 26

PMID 34036004

Citations 4

Authors

Nsikak E Daniel

Fidel S Rampersad

Vijay Naraynsingh

Shaheeba Barrow

Stephan David

Affiliations

Soon will be listed here.

Abstract

Intussusception in adults is rare. Even more unusual is jejunal intussusception secondary to a heterotopic pancreas. The presence of pancreatic tissue in an ectopic location and lacking contiguity with the main pancreatic gland is defined as pancreatic heterotopia. It is very rarely symptomatic and usually diagnosed incidentally during surgical intervention for other conditions. We report the case of a 78-year-old lady who presented with a history of constipation, abdominal pain, and vomiting. A CT scan revealed features of a proximal jejunojejunal intussusception secondary to a small soft tissue density lead point. After laparotomy and segmental jejunal resection, histopathology confirmed the diagnosis of ectopic pancreatic tissue as the lead point. Although uncommon, heterotopic pancreatic tissue should be included in the differential diagnosis for proximal small bowel intussusception.

Citing Articles

Jejunal Ectopic Pancreatic Tissue Rest as Lead Point in Patients with Intussusception: A Rare Case Report and Review of Literature.

Sefefe W, Tesfaw D, Tebikew A, Ayenew A, Dencha B, Abebe T Clin Exp Gastroenterol. 2024; 17:135-139.

PMID: 38708058 PMC: 11067941. DOI: 10.2147/CEG.S425986.

Endoscopic Ultrasound Appearance of Jejunal Ectopic Pancreas Mimicking Metastatic Nodule in a Cancer Patient.

Lee C, Lin Y, Hsu H, Chen Y, Yen H Diagnostics (Basel). 2023; 13(4).

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Development and Validation of a Nomogram for Predicting Pathological Intussusceptions in Children Prior to Surgical Intervention.

Ting X, Xufei D, Jiangbin L, Weijue X, Zhibao L, Guogang Y Front Pediatr. 2022; 10:877358.

PMID: 35923785 PMC: 9339649. DOI: 10.3389/fped.2022.877358.

Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature.

Wang T, Gong X, Wang J, Long C World J Clin Cases. 2022; 10(7):2261-2267.

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