Cammarata Francesco, Yakushkina Al'ona, Aguzzi Martina, Guerci Claudio, Fioritti Niccolò, Danelli Piergiorgio
Luigi Sacco University Hospital, Department of General Surgery, Via G.B. Grassi 74, 20157 Milan, Italy.
University of Milan, Department of General Surgery, Via Festa del Perdono 7, 20122 Milan, Italy.
J Surg Case Rep. 2024 Oct 7;2024(10):rjae570. doi: 10.1093/jscr/rjae570. eCollection 2024 Oct.
Heterotopic pancreas (HP) is a rare condition where pancreatic tissue is found outside its usual location, usually within the gastrointestinal tract. While typically asymptomatic, HP can cause complications like gastrointestinal bleeding and intussusception, especially in adults, posing diagnostic and therapeutic challenges. A 31-year-old male presented with severe abdominal pain, nausea, and vomiting. Initial imaging revealed significant ileal and cecal wall thickening. Despite antibiotic therapy, his condition worsened, necessitating exploratory laparotomy. Intraoperative findings showed ileal intussusception near the cecum, leading to ileocecal resection and ileo-colic anastomosis. Pathological examination confirmed HP as the cause of intussusception. This case underscores the importance of considering HP in adult intussusception. Timely surgical intervention is critical to prevent severe complications. At a two-year follow-up, he remained symptom-free, highlighting the necessity for prompt diagnosis and management.
异位胰腺（HP）是一种罕见病症，即在胰腺组织的正常位置以外发现胰腺组织，通常位于胃肠道内。虽然HP通常无症状，但它可引发诸如胃肠道出血和肠套叠等并发症，尤其是在成年人中，这给诊断和治疗带来了挑战。一名31岁男性出现严重腹痛、恶心和呕吐。初始影像学检查显示回肠和盲肠壁明显增厚。尽管进行了抗生素治疗，但其病情仍恶化，因此需要进行剖腹探查术。术中发现盲肠附近存在回肠套叠，遂进行了回盲部切除和回结肠吻合术。病理检查证实HP是肠套叠的病因。该病例强调了在成人肠套叠中考虑HP的重要性。及时的手术干预对于预防严重并发症至关重要。在两年的随访中，他没有症状，这突出了及时诊断和管理的必要性。
