Emergency Surgical Department, St. Orsola University Hospital, Bologna, Italy.
Department of Surgical Sciences, La Sapienza University Hospital, Rome, Italy.
Dig Dis Sci. 2020 Oct;65(10):2800-2804. doi: 10.1007/s10620-020-06410-3.
Isolated heterotopic pancreas (HP) as the primary cause of bowel intussusception is extremely rare. We report a case of a 33-year-old female patient with spina bifida admitted to the Emergency Surgical Department for ileal intussusception due to the presence of heterotopic pancreas associated with endometriosis.
Symptomatic ileal intussusception for ectopic pancreas is usually associated with overt gastrointestinal blood loss (predominantly melena), abdominal pain, vomiting, and weight loss. Treatment is universally surgical.
Isolated heterotopic pancreas is a rare condition; it should be considered in the differential diagnosis of bowel intussusception.
作为肠套叠主要原因的孤立性异位胰腺极其罕见。我们报告了一例 33 岁女性患者,因存在与子宫内膜异位症相关的异位胰腺而患有回肠套叠,该患者因脊柱裂入住急诊外科。
异位胰腺引起的有症状回肠套叠通常与明显的胃肠道出血(主要是黑便)、腹痛、呕吐和体重减轻有关。治疗普遍采用手术。
孤立性异位胰腺是一种罕见的情况;在肠套叠的鉴别诊断中应考虑到这一情况。