Ectopic pancreas, intussusception, and a ruptured mesenteric band: an unusual association |
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Authors: | Ganapathi Senthil Villa Francesco Perera Ranmith Wan Andrew |
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Affiliation: | Department of General Surgery, St. Georges Hospital, Tooting, London, United Kingdom. senthilganapathi@yahoo.co.uk |
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Abstract: | 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. |
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Keywords: | ectopic pancreas intussusception mesodiverticular band hemoperitoneum vitello‐intestinal tract |
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