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Surgical and Radiologic Anatomy

, Volume 40, Issue 8, pp 963–965 | Cite as

Heterotopic pancreas without Meckel’s diverticulum in children as unique cause of gastrointestinal bleeding: think about it!

  • Mélodie JuricicEmail author
  • Damipi Yempab Djagbare
  • Marion Carmassi
  • Nicoleta Panait
  • Alice Faure
  • Oumar NDour
  • Gabriel NGom
  • Thierry Merrot
Anatomic Variations

Abstract

Ectopic pancreas also known as heterotopic pancreas (HP) is a rare congenital anomaly, mainly found as incidental finding during autopsy or abdominal exploration for an other condition. Incidence rate is probably underestimated as patients are mostly asymptomatic; otherwise, it is capable of producing symptoms depending on its location, size, often appearing in the 4th-to-6th decades. Complications such as inflammation, obstruction, bleeding, and malignancy degeneration must be considered. Pediatrics cases are very rare, generally concerning HP within Meckel’s diverticulum, manifesting by gastrointestinal bleeding and intussusception. We report a rare case of jejunum bleeding, due to an isolated HP in a 15-year-old adolescent. Endoscopic and computed tomographic scan were normal, in particular did not found Meckel’s diverticulum. Diagnosis and treatment have been apprehended performing a laparoscopic exploration. It is a singular location for HP, predominantly found in upper gastrointestinal tractus. So far, there have been no case reports of jejunal bleeding from ectopic pancreas without Meckel’s diverticulum in children.

Keywords

Ectopic pancreas Heterotopic pancreas Aberrant pancreas Meckel’s diverticulum Gastrointestinal bleeding 

Notes

Author contributions

JM: drafting the paper; DDY: co-author; CM: other: acquisition and analysis of histopathological data; PN: other: patient’s surgeon and revising the paper critically; FA: other: patient’s surgeon; NO: project initiator; NG: project development; MT: approval of the submitted version.

Conflict of interest

We have no conflicts of interest to disclose.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Service de Chirurgie InfantileHopital des Enfants, CHU ToulouseToulouseFrance
  2. 2.Service de Chirurgie InfantileHôpital de la TimoneMarseille Cedex 20France
  3. 3.Service de Chirurgie PédiatriqueHôpital Aristide Le DantecDakarSenegal
  4. 4.Service d’anatomopathologieHôpital NordMarseille Cedex 20France

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