The Symptomatic heterotopic pancreas of the jejunum: A case report: Heterotopic pancreas in the jejunum

Abdulrahman Alhassani; Khalid Alhazmi; Rakan Alsarwani; Adel Chokki

doi:10.54293/smhj.v2i1.23

Authors

Abdulrahman H. Alhassani College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
Khalid A. Alhazmi College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia https://orcid.org/0000-0002-5747-0674
Rakan M. Alsarwani College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia https://orcid.org/0000-0003-4381-1746
Adel O. Chokki Department of General Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia

DOI:

https://doi.org/10.54293/smhj.v2i1.23

Keywords:

Intussusception, heterotopic, ectopic, pancreas, jejunum

Abstract

Introduction: Heterotopic pancreatic (HP) tissue defined as tissue that is found outside the anatomical location of the pancreas. It can occur anywhere in the gastrointestinal tract with the stomach and small bowel being the most common sites. The diagnosis of HP is considered difficult and usually discovered as an incidental finding in laparotomy. However, it can present as a case of intussusception or even perforation.

Case Presentation: In this case, we report a 23-year-old male with a history of abdominal pain with vomiting that lasted for 7 days. Computed tomography (CT) scan was suggestive of intussusception. Laparotomy was done and a mass was found adherent to the jejunal wall. Partial resection of the jejunum was performed including the mass. The histopathological analysis confirmed it to be mixed exocrine and endocrine heterotopic pancreatic tissue.

Conclusion: Heterotopic pancreatic tissue in the jejunum is rare. However, it should be considered in the differential diagnosis of jejunal masses.