Sautot-Vial N, Steyaert H
Lenval Fundation for Children, Department of Pediatric Surgery, Avenue de la Californie, 06200 Nice, France.
J Med Case Rep. 2009 Nov 18;3:134. doi: 10.1186/1752-1947-3-134.
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.
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.
To our knowledge, such a case of triple intussusception involving isolated heterotopic pancreatic tissue is previously unreported.
套叠累及异位胰腺组织是一种罕见的情况,即一段肠管套入相邻肠段,管腔内的胰腺组织作为套入点。异位胰腺病例最常发生在上消化道,尤其是胃。
我们报告一例5个月大的白人男孩,因急性腹痛、呕吐,右上腹可触及腹部肿块。包括超声扫描在内的检查确诊为肠套叠。在24小时内多次尝试进行放射学复位,并进行了两次腹腔镜手术,最终诊断为三重肠套叠。
据我们所知,此前尚未报道过这种累及孤立异位胰腺组织的三重肠套叠病例。