title: Adult intussusception caused by heterotopic pancreas.
abstract: Heterotopic pancreas causing small bowel intussusception is rare. We report the case of a 24-year-old woman who presented with intermittent episodes of abdominal cramping and pain that had persisted for 10 days. A target-shaped lesion consisting of multiple concentric rings was found on the left side on contrast-enhanced computed tomography. Surgical intervention demonstrated jejunal intussusception caused by a jejunal heterotopic pancreas. Microscopically, several nesidioblastoses of pancreas were identified. Although very rare, small intestinal pancreatic rests may cause subacute bowel obstruction.
authors.affiliation: Department of Emergency Medicine, Taipei County Hospital, Taipei, Taiwan. kokvakei@ms29.hinet.net
authors.forename: Va-Kei
authors.initials: VK
authors.lastname: Kok
authors.forename: Teh-Kuang
authors.initials: TK
authors.lastname: Wang
authors.forename: Nan-Hon
authors.initials: NH
authors.lastname: Lin
authors.forename: Jai-Jun
authors.initials: JJ
authors.lastname: Bei
authors.forename: Ping-Hung
authors.initials: PH
authors.lastname: Huang
authors.forename: Yaw-Ching
authors.initials: YC
authors.lastname: Chen
mesh_terms: D000328:Adult; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010179:Pancreas