A Case of an Emergency Operation Necessitated by Enteric Intussusception Led by a Heterotopic Pancreas

Abstract

We experienced a case of enteric intussusception led by a heterotopic pancreas. A 24-year-old female was admitted with vomiting and epigastric pain. Abdominal Computed tomography demonstrated an enteric intussusception. We therefore performed emergency surgery, which revealed an intussusception of 3cm, palpable at 300cm to the anal side from Treitz' ligament. Subsequently a partial resection of the small intestine and bowel reconstruction were performed with functional end-to-end anastomosis. Pathological examination revealed a heterotopic pancreas (Heinrich Type Ⅲ) of the ileum. Enteric intussusceptions in children is often encountered, however it is uncommon in adults. This case emphasizes the point that in the case of enteric intussusceptions in adults, organic diseases must be immediately investigated and a rapid decision regarding an emergency operation must be made.