Bazán Zender Carlos, Reyes Coloma Luis, León Cueto José Luis, Revoredo Palacios Giancarlo, Arias Stella Castillo Javier, Pezo Alonso
Clínica San Felipe, Lima, Perú
Rev Peru Med Exp Salud Publica. 2015 Jul-Sep;32(3):598-602.
The heterotopic pancreas (HP) is a rare condition in the pediatric population. HP cases involving an ileal intussusception are rare in children and very rarely reported, usually presenting with symptoms of intestinal obstruction. We report the case of a one year old male patient with a chronic history of anorexia, irritability, abdominal pain, accompanied by intermittent episodes of "currant jelly" stools that evolved to rectal bleeding. The patient presented a concomitant diagnosis of allergic colitis, which prolonged the effective surgical treatment at an external health center. In the abdominal CT scan, the classic "target" sign was found. In the exploratory laparotomy an ileoileal intussusception was confirmed, a mass was found that the histopathology laboratory confirmed as HP. To our knowledge, it is the first case of pediatric intussusception by HP reported in Peru.
异位胰腺(HP)在儿科人群中是一种罕见病症。涉及回肠套叠的HP病例在儿童中罕见且极少有报道,通常表现为肠梗阻症状。我们报告一例1岁男性患者,有慢性厌食、易怒、腹痛病史,伴有间歇性“果酱样”大便,进而发展为直肠出血。该患者同时被诊断为过敏性结肠炎,这在外部健康中心延误了有效的手术治疗。在腹部CT扫描中发现了典型的“靶征”。在剖腹探查术中证实为回肠套叠,发现一个肿块,经组织病理学实验室确认为HP。据我们所知,这是秘鲁报道的首例因HP导致的小儿肠套叠病例。