World Journal of Laparoscopic Surgery

Register      Login

VOLUME 16 , ISSUE 2 ( May-August, 2023 ) > List of Articles

CASE REPORT

Heterotopic Pancreas and Gastric Mucosa in Meckel's Diverticulum: A Rare Cause of Bowel Obstruction. Our Experience and a Brief Literature Review: A Case Report

Paolo Locurto, Salvatore Fazzotta, Ilenia Gregoria Forbice, Marco Airò Farulla, Giovanni Salvatore Urrico, Giovanni Ciaccio

Keywords : Bowel obstruction, Case report, Ectopic gastric mucosa, Heterotopic pancreas, Meckel's diverticulum

Citation Information : Locurto P, Fazzotta S, Forbice IG, Farulla MA, Urrico GS, Ciaccio G. Heterotopic Pancreas and Gastric Mucosa in Meckel's Diverticulum: A Rare Cause of Bowel Obstruction. Our Experience and a Brief Literature Review: A Case Report. World J Lap Surg 2023; 16 (2):97-100.

DOI: 10.5005/jp-journals-10033-1578

License: CC BY-NC 4.0

Published Online: 20-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

The triad of heterotopic pancreas and gastric mucosa in Meckel's diverticulum is an extremely rare condition. It is usually asymptomatic and often diagnosed only during surgery or diagnostic examinations for other diseases. Since it has no symptoms, it is found incidentally when the complications onset. We describe a case of Meckel's diverticulum with heterotopic pancreas and gastric mucosa who presented with a bowel obstruction in a patient with mental disability.


HTML PDF Share
  1. Wlaź J, Mądro A, Kaźmierak W, et al. Pancreatic and gastric heterotopy in the gastrointestinal tract. Postepy Hig Med Dosw (Online) 2014; 68:1069–1075. DOI: 10.5604/17322693.1119720.
  2. Mandhan P, Al Saied A, Ali MJ. A triad of congenital diaphragmatic hernia, Meckel's diverticulum, and heterotopic pancreas. Case Rep Pediatr 2014;2014:725945. DOI: 10.1155/2014/725945.
  3. Schropp KP, Garey CL. Meckel's diverticulum. In: Holcombe GW III, Murphy JP, editors. Ashcraft's Pediatric Surgery. 5th edition. Philadelphia: Elsevier Saunders; 2010. pp. 526–531.
  4. Brar AS, Gill RS, Gill SS, et al. NSAID-associated perforation of a Meckels diverticulum: A case report. J Clin Med Res 2011;3(2):96–98. DOI: 10.4021/jocmr504w.
  5. Maieron R, Stimac D, Avellini C, et al. Acute gastrointestinal bleeding due to Meckel's diverticulum heterotopic gastric mucosa. Ital J Gastroenterol 1996;28:225–228. PMID: 8842839.
  6. Kilius A, Samalavicius NE, Danys D, et al. Asymptomatic heterotopic pancreas in Meckel's diverticulum: A case report and review of the literature. J Med Case Rep 2015;9:108. DOI: 10.1186/s13256-015-0576-x.
  7. Heinrich H. Ein Beitrag zur Histologie des sogen akzessorischen Pankreas. Virchows Arch Path Anat Physiol 1909;198:392–401. DOI: 10.1007/BF02085327.
  8. Fuentes AG, Tarrech JMC, Burgui JLF, et al. Pancreatic ectopias. Rev Esp Enferm Apar Dig 1973;39(3):255–268. PMID: 4699117.
  9. Kopácová M, Vykouril L, Vacek Z, et al. Inverted Meckel's diverticulum with ectopic pancreatic tissue as a source of severe gastrointestinal bleeding. J Gastrointest Surg 2010;14(3):578–581. DOI: 10.1007/s11605-009-0838-2.
  10. Park JJ, Wolff BG, Tollefson MK, et al. Meckel diverticulum: The Mayo Clinic experience with 1476 patients (1950–2002). Ann Surg 2005;241(3):529–533. DOI: 10.1097/01.sla.0000154270.14308.5f.
  11. Levy AD, Hobbs CM. From the archives of the AFIP. Meckel diverticulum: Radiologic features with pathologic Correlation. Radiographics 2004;24(2):565–587. DOI: 10.1148/rg.242035187.
  12. Sumiyoshi T, Shima Y, Okabayashi T, et al. Heterotopic pancreas in the common bile duct, with a review of the literature. Intern Med 2014;53(23):2679–2682. DOI: 10.2169/internalmedicine.53.3007.
  13. Xiang S, Zhang F, Xu G. Ectopic pancreas in the ileum: An unusual condition and our experience. Medicine (Baltimore) 2019;98(44):e17691. DOI: 10.1097/MD.0000000000017691.
  14. Yang X, Guo K. Massive lower gastrointestinal bleeding from Meckel's diverticulum with heterotopic pancreas: Case report and a brief review of the literature. JOP 2013;14(3):269–272. DOI: 10.6092/1590-8577/1407.
  15. Biswas A, Husain EA, Feakins RM, et al. Heterotopic pancreas mimicking cholangiocarcinoma. Case report and literature review. JOP 2007;8(1):28–34. PMID: 17228130.
  16. Pearson S. Aberrant pancreas. Review of the literature and report of three cases, one of which produced common and pancreatic duct obstruction. AMA Arch Surg 1951;63(2):168–186. PMID: 14846476.
  17. Dolan RV, ReMine WH, Dockerty MB. The fate of heterotopic pancreatic tissue. A study of 212 cases. Arch Surg 1974;109(6):762–765. DOI: 10.1001/archsurg.1974.01360060032010.
  18. Koh HC, Page B, Black C, et al. Ectopic pancreatic-type malignancy presenting in a Meckel's diverticulum: A case report and review of the literature. World J Surg Oncol 2009;7:54. DOI: 10.1186/1477- 7819-7-54.
  19. Armstrong CP, King PM, Dixon JM, et al. The clinical significance of heterotopic pancreas in the gastrointestinal tract. Br J Surg 1981;68(6):384–387. DOI: 10.1002/bjs.1800680606.
  20. Serrano JS, Stauffer JA. Ectopic pancreas in the wall of the small intestine. J Gastrointest Surg 2016;20:1407–1408. DOI: 10.1007/s11605-016-3104-4.
  21. Clark JK, Paz DA, Ghahremani GG. Imaging of Meckel's diverticulum in adults: Pictorial essay. Clin Imaging 2014;38(5):557–564. DOI: 10.1016/j.clinimag.2014.04.020.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.