Heterotopia of pancreas leading to ileo-ileal intussusception in an adult: A case report

Abstract

A heterotopic pancreas as the lead point of ileo-ileal intussusception is extremely rare. A 26year old male patient previously healthy male, presented to the emergency room with the complaint of pain in the lower abdomen since 2 weeks, colicky type, progressive in nature, associated with melena for 5 days and non-bilious vomiting for 3 days. A preoperative diagnosis of ileo-ileal intussusception was made on ultrasound and cect abdomen and an emergency exploratory laparotomy was done. At laparotomy an ileo-ileal intussusception was found and a polyp noted in distal ileum as a lead point. On histopathology this polyp was found to be heterotopic pancreas.