Korean J Pediatr Gastroenterol Nutr.
2006 Mar;9(1):75-79.
A Case of Intussusception Caused by Meckel's Diverticulum with Heterotopic Pancreatic and Gastric Tissues
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Chungnam National University, Daejeon, Korea. jykim9@korea.com
- 2Department of Surgery, College of Medicine, Chungnam National University, Daejeon, Korea.
- 3Department of Pathology, College of Medicine, Chungnam National University, Daejeon, Korea.
Abstract
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Intussusception is a frequent cause of intestinal obstruction in early childhood and most are idiopathic in origin. In a minority of cases a definite pathological lead point is identified by imaging studying or during surgery. As the pathologic lead point of intussusception, Meckel's diverticulum is the most common lesion. In symptomatic patients, 40~60% of Meckel's diverticulum contain ectopic tissue, with gastric mucosa being far the most common type. A few Meckel's diverticulum contain pancreatic tissue. Combined heterotopic pancreatic and gastric tissues in the Meckel's diverticulum especially causing intussusception is extremely rare. We report the case of 5-year-old girl with an intussusception caused by Meckel's diverticulum containing both heterotopic gastric and pancreatic tissues.