The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception
Ectopic pancreas (EP) is a rare congenital anomaly defined as the presence of pancreatic tissue in topographic anomaly. It is usually silent but it may become clinically evident when complicated by acute conditions. The development of laparoscopic surgery has changed the way to manage such condition...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/8452947 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552097968553984 |
|---|---|
| author | Alessio Giordano Giovanni Alemanno Carlo Bergamini Paolo Prosperi Alessandro Bruscino Andrea Valeri |
| author_facet | Alessio Giordano Giovanni Alemanno Carlo Bergamini Paolo Prosperi Alessandro Bruscino Andrea Valeri |
| author_sort | Alessio Giordano |
| collection | DOAJ |
| description | Ectopic pancreas (EP) is a rare congenital anomaly defined as the presence of pancreatic tissue in topographic anomaly. It is usually silent but it may become clinically evident when complicated by acute conditions. The development of laparoscopic surgery has changed the way to manage such conditions, especially in the setting of emergency surgery, thanks to its diagnostic and therapeutic role with excellent results. We decided to perform an emergency diagnostic exploratory laparoscopy in a 29-year-old man with an acute abdomen and nonspecific radiological images for intestinal occlusion. A jejunojejunal intussusception was found, caused by a mass. We decided to carry out minilaparotomy to perform a resection of the affected jejunum. Histological examination confirmed the presence of a jejunal ectopic pancreas. Adult intussusception caused by EP represents 5% of all cases of intussusception. As CT scan, especially when performed in emergency setting for small bowel obstruction diagnosis, can usually demonstrate nondiagnostic findings suggestive of intussusception of unknown origin, laparoscopic exploration could help surgeons in order to perform a resolute diagnosis and treat the pathology. |
| format | Article |
| id | doaj-art-c384efe55c334400aaec379b77482fd1 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-c384efe55c334400aaec379b77482fd12025-02-03T05:59:33ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/84529478452947The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal IntussusceptionAlessio Giordano0Giovanni Alemanno1Carlo Bergamini2Paolo Prosperi3Alessandro Bruscino4Andrea Valeri5General, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, ItalyGeneral, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, ItalyGeneral, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, ItalyGeneral, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, ItalyGeneral, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, ItalyGeneral, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, ItalyEctopic pancreas (EP) is a rare congenital anomaly defined as the presence of pancreatic tissue in topographic anomaly. It is usually silent but it may become clinically evident when complicated by acute conditions. The development of laparoscopic surgery has changed the way to manage such conditions, especially in the setting of emergency surgery, thanks to its diagnostic and therapeutic role with excellent results. We decided to perform an emergency diagnostic exploratory laparoscopy in a 29-year-old man with an acute abdomen and nonspecific radiological images for intestinal occlusion. A jejunojejunal intussusception was found, caused by a mass. We decided to carry out minilaparotomy to perform a resection of the affected jejunum. Histological examination confirmed the presence of a jejunal ectopic pancreas. Adult intussusception caused by EP represents 5% of all cases of intussusception. As CT scan, especially when performed in emergency setting for small bowel obstruction diagnosis, can usually demonstrate nondiagnostic findings suggestive of intussusception of unknown origin, laparoscopic exploration could help surgeons in order to perform a resolute diagnosis and treat the pathology.http://dx.doi.org/10.1155/2017/8452947 |
| spellingShingle | Alessio Giordano Giovanni Alemanno Carlo Bergamini Paolo Prosperi Alessandro Bruscino Andrea Valeri The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception Case Reports in Surgery |
| title | The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception |
| title_full | The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception |
| title_fullStr | The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception |
| title_full_unstemmed | The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception |
| title_short | The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception |
| title_sort | role of laparoscopy in the management of a diagnostic dilemma jejunal ectopic pancreas developing into jejunojejunal intussusception |
| url | http://dx.doi.org/10.1155/2017/8452947 |
| work_keys_str_mv | AT alessiogiordano theroleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT giovannialemanno theroleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT carlobergamini theroleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT paoloprosperi theroleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT alessandrobruscino theroleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT andreavaleri theroleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT alessiogiordano roleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT giovannialemanno roleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT carlobergamini roleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT paoloprosperi roleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT alessandrobruscino roleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception AT andreavaleri roleoflaparoscopyinthemanagementofadiagnosticdilemmajejunalectopicpancreasdevelopingintojejunojejunalintussusception |