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Concomitant Heterotopic Pancreas and Endometriosis as a Rare Cause of Ileo-Ileal Intussusception in a Young Woman with Spina Bifida: Case Report and Literature Review

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Abstract

Introduction

Isolated heterotopic pancreas (HP) as the primary cause of bowel intussusception is extremely rare. We report a case of a 33-year-old female patient with spina bifida admitted to the Emergency Surgical Department for ileal intussusception due to the presence of heterotopic pancreas associated with endometriosis.

Areas Covered

Symptomatic ileal intussusception for ectopic pancreas is usually associated with overt gastrointestinal blood loss (predominantly melena), abdominal pain, vomiting, and weight loss. Treatment is universally surgical.

Expert Commentary

Isolated heterotopic pancreas is a rare condition; it should be considered in the differential diagnosis of bowel intussusception.

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Fig. 1
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Abbreviations

CT:

Computed tomography

EGDS:

Esophago-gastro-duodenal endoscopy

Hb:

Hemoglobin

WB:

White blood cells

CRP:

C-reactive protein

HP:

Heterotopic pancreas

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Authors and Affiliations

  1. Emergency Surgical Department, St. Orsola University Hospital, Bologna, Italy

    A. Sciannamea, B. Dalla Via, A. Lauro, M. Cervellera & V. Tonini

  2. Department of Surgical Sciences, La Sapienza University Hospital, Rome, Italy

    S. Vaccari & V. D’Andrea

  3. Department of Medical and Surgical Sciences, St. Orsola University Hospital, Bologna, Italy

    G. Marasco

  4. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    I. R. Marino

  5. Department of Experimental Diagnostic and Specialty Medicine, Institute of Oncology and Transplant Pathology, St. Orsola University Hospital, Bologna, Italy

    F. Vasuri

Authors
  1. A. Sciannamea
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  2. S. Vaccari
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  3. G. Marasco
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  4. B. Dalla Via
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  5. A. Lauro
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  6. I. R. Marino
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  9. V. D’Andrea
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Correspondence to A. Lauro.

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Sciannamea, A., Vaccari, S., Marasco, G. et al. Concomitant Heterotopic Pancreas and Endometriosis as a Rare Cause of Ileo-Ileal Intussusception in a Young Woman with Spina Bifida: Case Report and Literature Review. Dig Dis Sci 65, 2800–2804 (2020). https://doi.org/10.1007/s10620-020-06410-3

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