2000 Volume 36 Issue 7 Pages 1072-1077
A rare case of ileo-ileo colic intussuseption caused by an ileal heterotopic pancreas in a 14-month-old boy is reported. The boy was referred to our clinic after failed hydrostatic reduction. On admission, ultrasonography revealed a target sign in the upper left quadrant of the abdomen. Under general anesthesia, laparoscopic reduction of the intussusception was performed. After laparoscopic reduction of ileoileal intussusception, a whitish subserosal mass, measuring 1 cm in diameter, was noted approximately 30 cm from the ileocecal valve. It appeared to be the cause of the intussusception and was suspected to be heterotopic pancreas from its gross appearance. Thus, ileal resection to include the mass was performed through a minilaparotomy by extending the umbilical incision. Histology of the mass revealed heterotopic pancreatic tissue with acini, endocrine islet cells, and pancreatic ducts (Heinrich type I).
