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
  • 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

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.

Keyword

Intussusception; Meckel's diverticulum; Heterotopic gastric and pancreatic tissues

MeSH Terms

Child, Preschool
Choristoma
Female
Gastric Mucosa
Humans
Intestinal Obstruction
Intussusception*
Meckel Diverticulum*
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