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Ectopic pancreas, intussusception, and a ruptured mesenteric band: An unusual association
Author(s) -
Ganapathi Senthil,
Villa Francesco,
Perera Ranmith,
Wan Andrew
Publication year - 2011
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.21052
Subject(s) - medicine , ectopic pancreas , intussusception (medical disorder) , exploratory laparotomy , laparotomy , mesentery , hemoperitoneum , abdomen , abdominal pain , vomiting , pancreas , radiology , surgery
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. Clin. Anat. 24:128–132, 2011. © 2010 Wiley‐Liss, Inc.