Adult intussusception caused by heterotopic pancreas.
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.
Kok
Va-Kei
VK
Department of Emergency Medicine, Taipei County Hospital, Taipei, Taiwan. kokvakei@ms29.hinet.net
Wang
Teh-Kuang
TK
Lin
Nan-Hon
NH
Bei
Jai-Jun
JJ
Huang
Ping-Hung
PH
Chen
Yaw-Ching
YC
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