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Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old

INTRODUCTION: Pancreatic and gastric heterotopias are a rare presentation of pancreatic and gastric tissues located outside their expected location. The most common site of heterotopic pancreas is the gastric antrum, and the most common site of heterotopic gastric mucosa is the proximal esophagus. T...

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Autores principales: McCarthy, Caline, Ware, Amendha, Redan, Jay A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoscopic and Robotic Surgeons 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476238/
https://www.ncbi.nlm.nih.gov/pubmed/37671367
http://dx.doi.org/10.4293/CRSLS.2023.00018
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author McCarthy, Caline
Ware, Amendha
Redan, Jay A.
author_facet McCarthy, Caline
Ware, Amendha
Redan, Jay A.
author_sort McCarthy, Caline
collection PubMed
description INTRODUCTION: Pancreatic and gastric heterotopias are a rare presentation of pancreatic and gastric tissues located outside their expected location. The most common site of heterotopic pancreas is the gastric antrum, and the most common site of heterotopic gastric mucosa is the proximal esophagus. The two tissues rarely present simultaneously. Although lead-point intussusception secondary to simultaneous heterotypic gastric and pancreatic tissue is extremely rare, its management strategy is the same as other pathological lead-point intussusception. CASE DESCRIPTION: This report presents a 23-year-old female who presented to the emergency department with abdominal pain, vomiting, and gastrointestinal bleeding. Computed tomography scan revealed features of distal small bowel intussusception secondary to a solid mass lead point. Following laparoscopic assisted small bowel resection and incidental appendectomy, histopathology evaluation confirmed the diagnosis of heterotopic pancreatic and gastric tissue as the lead point. The patient had an uneventful postoperative period and was discharged in stable condition, free of symptoms. DISCUSSION: Lead point intussusception of the jejunum in adults due to combined heterotopic tissue is extremely rare, with no reported cases in the literature. Prompt diagnosis and management are essential, with delays in treatments leading to a risk of perforation and mortality. If diagnosed, minimally invasive surgical approaches can treat obstruction and improve intraoperative and postoperative outcomes.
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spelling pubmed-104762382023-09-05 Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old McCarthy, Caline Ware, Amendha Redan, Jay A. CRSLS Case Report INTRODUCTION: Pancreatic and gastric heterotopias are a rare presentation of pancreatic and gastric tissues located outside their expected location. The most common site of heterotopic pancreas is the gastric antrum, and the most common site of heterotopic gastric mucosa is the proximal esophagus. The two tissues rarely present simultaneously. Although lead-point intussusception secondary to simultaneous heterotypic gastric and pancreatic tissue is extremely rare, its management strategy is the same as other pathological lead-point intussusception. CASE DESCRIPTION: This report presents a 23-year-old female who presented to the emergency department with abdominal pain, vomiting, and gastrointestinal bleeding. Computed tomography scan revealed features of distal small bowel intussusception secondary to a solid mass lead point. Following laparoscopic assisted small bowel resection and incidental appendectomy, histopathology evaluation confirmed the diagnosis of heterotopic pancreatic and gastric tissue as the lead point. The patient had an uneventful postoperative period and was discharged in stable condition, free of symptoms. DISCUSSION: Lead point intussusception of the jejunum in adults due to combined heterotopic tissue is extremely rare, with no reported cases in the literature. Prompt diagnosis and management are essential, with delays in treatments leading to a risk of perforation and mortality. If diagnosed, minimally invasive surgical approaches can treat obstruction and improve intraoperative and postoperative outcomes. Society of Laparoscopic and Robotic Surgeons 2023-09-04 /pmc/articles/PMC10476238/ /pubmed/37671367 http://dx.doi.org/10.4293/CRSLS.2023.00018 Text en © 2023 by SLS, Society of Laparoscopic & Robotic Surgeons. https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-ShareAlike 3.0 Unported license (http://creativecommons.org/licenses/by-nc-sa/3.0/ (https://creativecommons.org/licenses/by-nc-sa/3.0/) ), which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
McCarthy, Caline
Ware, Amendha
Redan, Jay A.
Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old
title Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old
title_full Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old
title_fullStr Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old
title_full_unstemmed Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old
title_short Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old
title_sort jejunal intussusception secondary to pancreatic and gastric heterotopia in a 23-year-old
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476238/
https://www.ncbi.nlm.nih.gov/pubmed/37671367
http://dx.doi.org/10.4293/CRSLS.2023.00018
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