Concomitant Heterotopic Pancreas and Endometriosis as a Rare Cause of Ileo-Ileal Intussusception in a Young Woman with Spina Bifida: Case Report and Literature Review

Dig Dis Sci. 2020 Oct;65(10):2800-2804. doi: 10.1007/s10620-020-06410-3.

Abstract

Introduction: Isolated heterotopic pancreas (HP) as the primary cause of bowel intussusception is extremely rare. We report a case of a 33-year-old female patient with spina bifida admitted to the Emergency Surgical Department for ileal intussusception due to the presence of heterotopic pancreas associated with endometriosis.

Areas covered: Symptomatic ileal intussusception for ectopic pancreas is usually associated with overt gastrointestinal blood loss (predominantly melena), abdominal pain, vomiting, and weight loss. Treatment is universally surgical.

Expert commentary: Isolated heterotopic pancreas is a rare condition; it should be considered in the differential diagnosis of bowel intussusception.

Keywords: Abdominal pain; Bowel Intussusception; Endometriosis; Heterotopic pancreas; Spina bifida.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Choristoma / complications*
  • Choristoma / diagnostic imaging
  • Choristoma / surgery
  • Endometriosis / complications*
  • Endometriosis / diagnostic imaging
  • Endometriosis / surgery
  • Female
  • Humans
  • Ileal Diseases / complications*
  • Ileal Diseases / diagnostic imaging
  • Ileal Diseases / surgery
  • Intussusception / diagnostic imaging
  • Intussusception / etiology*
  • Intussusception / surgery
  • Pancreas*
  • Spinal Dysraphism / complications*
  • Spinal Dysraphism / diagnosis
  • Treatment Outcome