Ectopic Pancreas Presenting as Ileoileal Intussusception

Abstract

Introdution: Intussusception is defined as the telescoping of a segment of the gastrointestinal tract into an adjacent one. Pancreatic heterotopia is defined as the presence, outside its usual location, of pancreatic tissue which lacks anatomical and vascular continuity with the pancreas proper. Ectopic pancreatic tissue may be found throughout the entire gastrointestinal track and is often asymptomatic. Surgical excision is potentially curative for EP. Case Report: A 34 years old male presented with severe abdominal pain and distension, intermittent vomiting, not relieved with medications. The sign, symptoms and USG suggested intestinal obstruction. Exploratory laprotomy was done, intussusceptions was reduced. An ileal loop was found to be the cause of intussusceptions which was removed along with small segment of adjacent bowel and sent for the histological examination revealed a presence of pancreatic tissue within lipomatous polyp made up of pancreatic acini and dialated ducts. Conclusion: Ectopic pancreas is a rare condition that lead to ileal intussusception. Despite the development of modern diagnostic modalities, its diagnosis continues to be a challenging one. It is often diagnosed incidentally on histopathological examination and should be considered in differential diagnosis of intestinal mass lesions.