Ectopic pancreas, intussusception, and a ruptured mesenteric band: an unusual association.
Although ectopic pancreas and intussusception are not unusual conditions, intussusception caused by ectopic pancreas is extremely rare. Its presence along with a ruptured congenital mesenteric vascular band raises the possibility of an anomaly of the vitelline vascular system. We report the case of a 26-year-old man presenting with acute abdominal pain, vomiting, and diarrhea. CT scan showed a large amount of free fluid in his abdomen and an ileo-ileal intussusception. At laparotomy he was found to have hemoperitoneum with a ruptured, actively bleeding congenital band attached to the ileal mesentery, which was ligated, with ileo-ileal intussusception that was resected. Histopathology showed ectopic pancreatic tissue as the lead point for the intussusception. It was likely to be a ruptured mesodiverticular band and along with other findings suggested a constellation of anomalies of the vitello-intestinal tract.
Department of General Surgery, St. Georges Hospital, Tooting, London, United Kingdom. senthilganapathi@yahoo.co.uk
Senthil
S
Ganapathi
Francesco
F
Villa
Ranmith
R
Perera
Andrew
A
Wan
D000328:Adult; D002828:Choristoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000473:pathology; D007415:Intestinal Obstruction / Q000150:complications / Q000473:pathology* / Q000601:surgery; D007443:Intussusception / Q000150:complications / Q000473:pathology* / Q000601:surgery; D008297:Male; D010179:Pancreas; D010532:Peritoneal Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome