Heterotopic pancreas (HP) is a rare condition where pancreatic tissue is found outside its usual location, usually within the gastrointestinal tract. While typically asymptomatic, HP can cause complications like gastrointestinal bleeding and intussusception, especially in adults, posing diagnostic and therapeutic challenges. A 31-year-old male presented with severe abdominal pain, nausea, and vomiting. Initial imaging revealed significant ileal and cecal wall thickening. Despite antibiotic therapy, his condition worsened, necessitating exploratory laparotomy. Intraoperative findings showed ileal intussusception near the cecum, leading to ileocecal resection and ileo-colic anastomosis. Pathological examination confirmed HP as the cause of intussusception. This case underscores the importance of considering HP in adult intussusception. Timely surgical intervention is critical to prevent severe complications. At a two-year follow-up, he remained symptom-free, highlighting the necessity for prompt diagnosis and management.

Ileal intussusception due to heterotopic pancreas in the ileum: a case report / F. Cammarata, A. Yakushkina, M. Aguzzi, C. Guerci, N. Fioritti, P. Danelli. - In: JOURNAL OF SURGICAL CASE REPORTS. - ISSN 2042-8812. - 2024:10(2024 Oct), pp. rjae570.1-rjae570.3. [10.1093/jscr/rjae570]

Ileal intussusception due to heterotopic pancreas in the ileum: a case report

F. Cammarata
Primo
;
M. Aguzzi
;
C. Guerci;P. Danelli
Ultimo
2024

Abstract

Heterotopic pancreas (HP) is a rare condition where pancreatic tissue is found outside its usual location, usually within the gastrointestinal tract. While typically asymptomatic, HP can cause complications like gastrointestinal bleeding and intussusception, especially in adults, posing diagnostic and therapeutic challenges. A 31-year-old male presented with severe abdominal pain, nausea, and vomiting. Initial imaging revealed significant ileal and cecal wall thickening. Despite antibiotic therapy, his condition worsened, necessitating exploratory laparotomy. Intraoperative findings showed ileal intussusception near the cecum, leading to ileocecal resection and ileo-colic anastomosis. Pathological examination confirmed HP as the cause of intussusception. This case underscores the importance of considering HP in adult intussusception. Timely surgical intervention is critical to prevent severe complications. At a two-year follow-up, he remained symptom-free, highlighting the necessity for prompt diagnosis and management.
acute abdomen; case report; heterotopic pancreas; intussusception; pancreas
Settore MEDS-06/A - Chirurgia generale
ott-2024
Article (author)
File in questo prodotto:
File Dimensione Formato  
rjae570.pdf

accesso aperto

Descrizione: Case Report
Tipologia: Publisher's version/PDF
Dimensione 474.73 kB
Formato Adobe PDF
474.73 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1116068
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact