Advertisement

Pancreatic heterotopia in a neonatal abdominopelvic cyst

  • Noah M. Seymore
  • Bachir Zoghbi
  • Cirilo Sotelo-Avila
  • Shannon G. Farmakis
Case Report

Abstract

Pancreatic heterotopia is a rare congenital anomaly more commonly incidentally found in adults. While intra-abdominal cysts found on prenatal imaging are not uncommon, we examine a case of pancreatic heterotopia presenting in an abdominopelvic cyst on prenatal imaging. At birth, the neonate was found to have hypoglycemia unresponsive to treatment that resolved after cyst resection. We will review the etiology, imaging findings and clinical course of this anomaly, which should be considered in the differential diagnosis of newborns presenting with unexplained hypoglycemia.

Keywords

Abdomen Cyst Ectopic pancreas Neonate Pancreatic heterotopia Ultrasound 

Notes

Compliance with ethical standards

Conflicts of interest

None

References

  1. 1.
    Agarwal R (1999) Sonographic assessment of fetal abdominal cystic lesions: a pictorial essay. Indian J Radiol Imaging [serial online] 9:169–182 http://www.ijri.org/text.asp?1999/9/4/169/28349 Google Scholar
  2. 2.
    Auringer ST, Ulmer JL, Sumner TE, Turner CS (1993) Congenital cyst of the pancreas. J Pediatr Surg 28:1570–1571CrossRefGoogle Scholar
  3. 3.
    Rezvani M, Menias C, Sandrasegaran K et al (2017) Heterotopic pancreas: histopathologic features, imaging findings, and complications. Radiographics 37:484–499CrossRefGoogle Scholar
  4. 4.
    Cagirici U, Ozbaran M, Veral A, Posacioglu H (2001) Ectopic mediastinal pancreas. Eur J Cardiothorac Surg 19:514–515CrossRefGoogle Scholar
  5. 5.
    Hussain K, Seppänen M, Näntö-Salonen K et al (2006) The diagnosis of ectopic focal hyperinsulinism of infancy with [18F]-dopa positron emission tomography. J Clin Endocrinol Metab 91:2839–2842CrossRefGoogle Scholar
  6. 6.
    Cardenas CM, Dominguez I, Campuzano M et al (2009) Malignant insulinoma arising from intrasplenic heterotopic pancreas. JOP 10:321–323PubMedGoogle Scholar
  7. 7.
    Cordero L, Ramesh S, Hillier K et al (2013) Early feeding and neonatal hypoglycemia in infants of diabetic mothers. SAGE Open Med 1:205031211351661.  https://doi.org/10.1177/2050312113516613 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Radiology, SSM Health Cardinal Glennon Children’s HospitalSt. Louis University School of MedicineSt. LouisUSA
  2. 2.Department of Pathology, SSM Health Cardinal Glennon Children’s HospitalSt. Louis University School of MedicineSt. LouisUSA

Personalised recommendations