Ectopic pancreas, intussusception, and a ruptured mesenteric band: An unusual association
| Autor: | Andrew Wan, Senthil Ganapathi, Ranmith Perera, Francesco Villa |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Histology medicine.medical_treatment Choristoma Peritoneal Diseases Ileum Intussusception (medical disorder) Laparotomy medicine Humans Hemoperitoneum Pancreas business.industry General Medicine medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Ectopic pancreas Vomiting Abdomen Histopathology Anatomy medicine.symptom Tomography X-Ray Computed business Intussusception Intestinal Obstruction |
| Zdroj: | Clinical Anatomy. 24:128-132 |
| ISSN: | 0897-3806 |
| DOI: | 10.1002/ca.21052 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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