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Case Report
Early diagnosis and surgical management in adult intussusceptions caused by ectopic pancreas
1 Core Trainee Year 1, General Surgery, Northwick Park Hospital, Watford Rd, Harrow, London, HA1 3UJ, United Kingdom
2 Foundation Year 2, General Surgery, Northwick Park Hospital, Watford Rd, Harrow, London, HA1 3UJ, United Kingdom
3 Consultant General Surgeon, Emergency Surgery, Northwick Park Hospital, Watford Rd, Harrow, London, HA1 3UJ, United Kingdom
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Smriti Karki
Northwick Park Hospital, Watford Rd, Harrow, London, HA1 3UJ,
United Kingdom
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Article ID: 100078Z12SK2020
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Karki S, Aziz H, Watfah J. Early diagnosis and surgical management in adult intussusceptions caused by ectopic pancreas. J Case Rep Images Surg 2020;6:100078Z12SK2020.ABSTRACT
Adult intussusception comprises of only 5% of all intussusception cases with majority occurring in children and accounts for only 1–5% cases of bowel obstruction in adults. Ectopic pancreas is an infrequent anomaly defined as pancreatic tissue that lacks anatomical or vascular communication with the normal body of the pancreas. When reported it is mostly found in the stomach and small intestines but seldom in the colon. We present a case of a 31-year-old male who presented with symptoms of an acute abdomen which was diagnosed as an intussusception of an unknown etiology on a contrast-enhanced computed tomography (CT). The patient was resuscitated and immediately operated on and underwent a right hemicolectomy and eventually an end ileostomy formation. No cause for the intussusception was apparent intra-operatively but histological examination of the resected bowel specimen demonstrated ectopic pancreas. The patient had a very short recovery time without incident which may be attributed to his age and absence of co-morbidities. He was discharged a follow-up plan to discuss the reversal. The patient went on to have reversal of his stoma after six months of the initial surgery with a very good outcome.
Keywords: Adult intussusception, Ectopic pancreas, Hemicolectomy, Heterotopic pancreas, Ileo-colic intussusception
SUPPORTING INFORMATION
Author Contributions
Smriti Karki - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hina Aziz - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Joseph Watfah - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Smriti Karki et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
