Korean Journal of Pediatric Gastroenterology and Nutrition  2006;9(1):75-79

A Case of Intussusception Caused by Meckel's Diverticulum with Heterotopic Pancreatic and Gastric Tissues.

Mi Jin KIM 1 ; Jae Young KIM ; Ji Young SUL ; Dae Young KANG

Affiliations

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Keywords

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

Country

Republic of Korea

Language

Korean

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.