Unusual case of intestinal intussusception caused by ectopic pancreatic tissue in a young adult patient
Keywords:
intussusception, intestinal obstruction, small intestine, X-Ray computed tomography.Abstract
Introduction: Intestinal intussusception is a disease in which a proximal segment of the intestine and its mesentery invaginate into the lumen of the adjacent distal segment. Several benign and malignant etiologies have been described; its presentation in the adult population is rare, with nonspecific and late symptoms.Objective: To present the clinical case of a patient with intestinal obstruction, secondary to an ileo-ileal intussusception, caused by the presence of ectopic pancreatic tissue in a Meckel's diverticulum.
Clinical case: A 37-year-old male patient with a history of marijuana and cocaine use, presented sudden-onset abdominal pain and was diagnosed with intestinal obstruction. Contrast-enhanced tomography revealed ileo-ileal intussusception caused by a Meckel's diverticulum. Exploratory laparotomy with segmental resection and ileo-ileal anastomosis was performed. Histopathology confirmed the presence of ectopic pancreatic tissue. The patient recovered without complications after surgery.
Conclusions: This case highlights the importance of considering ileo-ileal intussusception as a possible cause of intestinal obstruction in adults, especially when associated with a Meckel diverticulum containing ectopic pancreatic tissue.
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References
1. Yu M, Fang Z, Shen J, Zhu X, Wang D, Shi Y. Double simultaneous intussusception caused by Meckel's diverticulum and intestinal duplication in a child [Internet]. J Int Med Res. 2018; 46(8):3427-34. DOI: 10.1177/0300060518777337
2. Yamauchi N, Ito T, Matsuoka H, Chohno T, Hasegawa H, Kakeji Y, et al. Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel's diverticulum: a case report [Internet]. Surg Case Rep. 2020; 6(1):286. DOI: 10.1186/s40792-020-01061-y
3. Gold D, Nawass M, Imam R, Pillar N, Appelbaum L, Pikarsky A, et al. Intussusception in a pregnant patient caused by an ectopic pancreatic mass [Internet]. Clin J Gastroenterol. 2020; 13(2):209-13. DOI: 10.1007/s12328-019-01030-5
4. Zorn J, Zhang S, Brandt J, Keckeisen G. Small bowel obstruction precipitated by intussusception of Meckel's diverticulum [Internet]. SAGE Open Med Case Rep. 2022; 10:2050313X211072663. DOI: 10.1177/2050313X211072663
5. Palma Zapata JA, Llamas Domínguez AE, Fernández Álvarez ZL, Palma Zapata J. Ileo-Ileal Intussusception Caused by a Meckel's Diverticulum With Ectopic Pancreatic Tissue: A Case Report [Internet]. Cureus. 2024; 16(1):e51888. DOI: 10.7759/cureus.51888
6. Kechiche N, Makhlouf D, Laamiri R, Zouaoui A, Mani S, Ksiaa A, et al. Intussusception Caused by Heterotopic Pancreas: A Tunisian Case Series of 5 Pediatric Patients [Internet]. Arch Iran Med. 2022; 25(12):844-6. DOI: 10.34172/aim.2022.131
7. Dhruv S, Polavarapu A, Asuzu I, Andrawes S, Mukherjee I. Jejunal Ectopic Pancreas: A Rare Cause of Small Intestinal Mass [Internet]. Cureus. 2021; 13(6):e15409. DOI: 10.7759/cureus.15409
8. Hutchason A, Sura A, Vettikattu N, Goodarzian F. Clinical management and recommendations for children with more than four episodes of recurrent intussusception following successful reduction of each: an institutional review [Internet]. Clin Radiol. 2020; 75(11):864-7. DOI: 10.1016/j.crad.2020.08.009
9. Arkuszewski PT, Klosinski KK, Kawa OJ, Czyzewski BM, Pasieka ZW. Meckel's Diverticulum Injuries after Blunt Trauma [Internet]. J Clin Med. 2024; 13(6):1614. DOI: 10.3390/jcm13061614
10. Hutchinson S, Awadalla A, Pereira N. Recurrent Intussusception in the Setting of Meckel's Diverticulum in an Infant [Internet]. Cureus. 2023; 15(6):e40325. DOI: 10.7759/cureus.40325
2. Yamauchi N, Ito T, Matsuoka H, Chohno T, Hasegawa H, Kakeji Y, et al. Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel's diverticulum: a case report [Internet]. Surg Case Rep. 2020; 6(1):286. DOI: 10.1186/s40792-020-01061-y
3. Gold D, Nawass M, Imam R, Pillar N, Appelbaum L, Pikarsky A, et al. Intussusception in a pregnant patient caused by an ectopic pancreatic mass [Internet]. Clin J Gastroenterol. 2020; 13(2):209-13. DOI: 10.1007/s12328-019-01030-5
4. Zorn J, Zhang S, Brandt J, Keckeisen G. Small bowel obstruction precipitated by intussusception of Meckel's diverticulum [Internet]. SAGE Open Med Case Rep. 2022; 10:2050313X211072663. DOI: 10.1177/2050313X211072663
5. Palma Zapata JA, Llamas Domínguez AE, Fernández Álvarez ZL, Palma Zapata J. Ileo-Ileal Intussusception Caused by a Meckel's Diverticulum With Ectopic Pancreatic Tissue: A Case Report [Internet]. Cureus. 2024; 16(1):e51888. DOI: 10.7759/cureus.51888
6. Kechiche N, Makhlouf D, Laamiri R, Zouaoui A, Mani S, Ksiaa A, et al. Intussusception Caused by Heterotopic Pancreas: A Tunisian Case Series of 5 Pediatric Patients [Internet]. Arch Iran Med. 2022; 25(12):844-6. DOI: 10.34172/aim.2022.131
7. Dhruv S, Polavarapu A, Asuzu I, Andrawes S, Mukherjee I. Jejunal Ectopic Pancreas: A Rare Cause of Small Intestinal Mass [Internet]. Cureus. 2021; 13(6):e15409. DOI: 10.7759/cureus.15409
8. Hutchason A, Sura A, Vettikattu N, Goodarzian F. Clinical management and recommendations for children with more than four episodes of recurrent intussusception following successful reduction of each: an institutional review [Internet]. Clin Radiol. 2020; 75(11):864-7. DOI: 10.1016/j.crad.2020.08.009
9. Arkuszewski PT, Klosinski KK, Kawa OJ, Czyzewski BM, Pasieka ZW. Meckel's Diverticulum Injuries after Blunt Trauma [Internet]. J Clin Med. 2024; 13(6):1614. DOI: 10.3390/jcm13061614
10. Hutchinson S, Awadalla A, Pereira N. Recurrent Intussusception in the Setting of Meckel's Diverticulum in an Infant [Internet]. Cureus. 2023; 15(6):e40325. DOI: 10.7759/cureus.40325
Published
2024-10-09
How to Cite
1.
Jaramillo-Escobar SL, Giraldo-Campillo D, Reyes-Romero K, Zuluaga-Gómez M, Ardila CM. Unusual case of intestinal intussusception caused by ectopic pancreatic tissue in a young adult patient. Rev Cubana Med Milit [Internet]. 2024 Oct. 9 [cited 2025 Jan. 30];53(4):e024061610. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/61610
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