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Published in: Journal of Medical Case Reports 1/2009

Open Access 01-12-2009 | Case report

Triple intussusception involving heterotopic pancreatic tissue: a case report

Authors: N Sautot-Vial, H Steyaert

Published in: Journal of Medical Case Reports | Issue 1/2009

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Abstract

Introduction

Intussusception involving heterotopic pancreatic tissue is a rare condition where a portion of the bowel telescopes into an adjacent segment with intraluminal pancreatic tissue as the lead point. Cases of heterotopic pancreas are most often described in the upper intestinal tract, particularly the stomach.

Case presentation

We present the case of a five-month-old boy of Caucasian ethnicity suffering acute abdominal pain and vomiting with an abdominal mass in the upper right quadrant. Work-up including ultrasound scan confirmed the intussusception. Repeated attempts at radiological reduction and two laparoscopic procedures were performed within 24 hours, which eventually led to the diagnosis of a triple intussusception.

Conclusion

To our knowledge, such a case of triple intussusception involving isolated heterotopic pancreatic tissue is previously unreported.
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Literature
1.
go back to reference Habib E, Elhadad A: Triple jejuno-jejunal intussusception discovered and treated with laparoscopy. J Chir (Paris). 1997, 134: 133-136. Habib E, Elhadad A: Triple jejuno-jejunal intussusception discovered and treated with laparoscopy. J Chir (Paris). 1997, 134: 133-136.
2.
go back to reference Bulucea D: Triple intestinal invagination as the cause of chronic painful abdomen in a child. Rev Pediatr Obstet Ginecol Pediatr. 1983, 32: 281-284.PubMed Bulucea D: Triple intestinal invagination as the cause of chronic painful abdomen in a child. Rev Pediatr Obstet Ginecol Pediatr. 1983, 32: 281-284.PubMed
3.
go back to reference Kazez A, Ozel SK, Kocakoc E, Kiris A: Double intussusception in a child: the triple-circle sign. J Ultrasound Med. 2004, 23: 1659-1661.PubMed Kazez A, Ozel SK, Kocakoc E, Kiris A: Double intussusception in a child: the triple-circle sign. J Ultrasound Med. 2004, 23: 1659-1661.PubMed
4.
go back to reference Chandra N, Campbell S, Gibson M, Reece-Smith H, Mee A: Intussusception caused by a heterotopic pancreas. Case report and literature review. JOP. 2004, 5: 476-479.PubMed Chandra N, Campbell S, Gibson M, Reece-Smith H, Mee A: Intussusception caused by a heterotopic pancreas. Case report and literature review. JOP. 2004, 5: 476-479.PubMed
5.
go back to reference Scholz S, Loff S, Wirth H: Double ileoileal intussusception caused by a giant polypoid mass of heterotopic pancreas in a child. Eur J Pediatr. 2000, 159: 861-862. 10.1007/PL00008355.CrossRefPubMed Scholz S, Loff S, Wirth H: Double ileoileal intussusception caused by a giant polypoid mass of heterotopic pancreas in a child. Eur J Pediatr. 2000, 159: 861-862. 10.1007/PL00008355.CrossRefPubMed
6.
go back to reference Hamada Y, Yonekura Y, Tanano A, Takada K, Kato Y, Sato M, Sakaida N, Okamura A, Hioki K: Isolated heterotopic pancreas causing intussusception. Eur J Pediatr Surg. 2000, 10: 197-200. 10.1055/s-2008-1072357.CrossRefPubMed Hamada Y, Yonekura Y, Tanano A, Takada K, Kato Y, Sato M, Sakaida N, Okamura A, Hioki K: Isolated heterotopic pancreas causing intussusception. Eur J Pediatr Surg. 2000, 10: 197-200. 10.1055/s-2008-1072357.CrossRefPubMed
7.
go back to reference Pang LC: Pancreatic heterotopia: a reappraisal and clinicopathologic analysis of 32 cases. South Med J. 1988, 81: 1264-1275.CrossRefPubMed Pang LC: Pancreatic heterotopia: a reappraisal and clinicopathologic analysis of 32 cases. South Med J. 1988, 81: 1264-1275.CrossRefPubMed
8.
go back to reference Kitchin AP: Intussusception due to ectopic pancreatic tissue. Lancet. 1952, 2: 989-990. 10.1016/S0140-6736(52)92235-6.CrossRefPubMed Kitchin AP: Intussusception due to ectopic pancreatic tissue. Lancet. 1952, 2: 989-990. 10.1016/S0140-6736(52)92235-6.CrossRefPubMed
9.
go back to reference Kia KF, Mony VK, Drongowski RA, Golladay ES, Geiger JD, Hirschl RB, Coran AG, Teitelbaum DH: Laparoscopic vs open surgical approach for intussusception requiring operative intervention. J Pediatr Surg. 2005, 40: 281-284. 10.1016/j.jpedsurg.2004.09.026.CrossRefPubMed Kia KF, Mony VK, Drongowski RA, Golladay ES, Geiger JD, Hirschl RB, Coran AG, Teitelbaum DH: Laparoscopic vs open surgical approach for intussusception requiring operative intervention. J Pediatr Surg. 2005, 40: 281-284. 10.1016/j.jpedsurg.2004.09.026.CrossRefPubMed
10.
go back to reference Poddoubnyi IV, Dronov AF, Blinnikov OI, Smirnov AN, Darenkov IA, Dedov KA: Laparoscopy in the treatment of intussusception in children. J Pediatr Surg. 1998, 33: 1194-1197. 10.1016/S0022-3468(98)90149-X.CrossRefPubMed Poddoubnyi IV, Dronov AF, Blinnikov OI, Smirnov AN, Darenkov IA, Dedov KA: Laparoscopy in the treatment of intussusception in children. J Pediatr Surg. 1998, 33: 1194-1197. 10.1016/S0022-3468(98)90149-X.CrossRefPubMed
Metadata
Title
Triple intussusception involving heterotopic pancreatic tissue: a case report
Authors
N Sautot-Vial
H Steyaert
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2009
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-3-134

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