Journal List > J Korean Surg Soc > v.79(Suppl 1) > 1011227

TOOLS
Jun, Kye, Kim, Cho, Yoo, and Hwang: Intussusception in an Adult due to Inverted Meckel's Diverticulum with Ectopic Pancreatic Tissue
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(Suppl 1): S41-S44.

Published online: 31 December 2010

DOI: https://doi.org/10.4174/jkss.2010.79.Suppl1.S41

Intussusception in an Adult due to Inverted Meckel's Diverticulum with Ectopic Pancreatic Tissue

Ye-Won Jun, M.D., Bong Hyun Kye, M.D., Hyung Jin Kim, M.D., Hyeon-Min Cho, M.D., Changyoung Yoo, M.D.1, Seong Su Hwang, M.D.2

Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

1Department of Pathology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

2Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

Corresponding author (hj@catholic.ac.kr)

Received 16 June 2010       Accepted 19 August 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Adult intussusception is rare involving of only 1% of the causes of bowel obstruction. We report a case of a 39-year-old female with intussusceptions due to inverted Meckel's diverticulum. She visited our hospital for diffuse abdominal pain during 1 week and aggravated abdominal pain for 2 days. Vital signs were stable, and there was periumbilical tenderness. She had no history of abdominal operation. CT scan showed a 3.7×2.1 cm of fatty mass with focal intussusception in the distal ileum. When the emergency operation was performed, the patient was found to be suffering from ileocolic intussusception. A manual reduction of intussusception showed inverted Meckel's deverticulum at 65 cm proximal to the ileocecal valve, and the segmental resection of small bowel including a Meckel's diverticulum was performed. Pathologic examination revealed a Meckel's diverticulum containing a 0.6×0.6 cm sized aberrant pancreas.

Keywords: Intussusception, Meckel diverticulum

Figures and Tables

Fig. 1
CT scan shows fatty mass with focal intussusception in the distal ileum.
jkss-79-S41-g001
Fig. 2
Operative findings. (A) An ileoileal intussusception is noted. (B) After manual reduction of the intussusception, Meckel's diverticulum is found with a yellow colored soft mass on the tip.
jkss-79-S41-g002
Fig. 3
Histologic findings. (A) The mucosal layer is composed of gastric, colonic or small intestinal mucosa. And the proper muscle layer is also found (H&E stain, ×40). (B) In the subserosal area, pancreatic tissue is noted forming round aggregate approximately 1.0×1.0 cm in size. The pancreatic tissue is composed of ductal epithelium and scattered clusters of endocrine cells in the fibrotic background (H&E stain, ×100).
jkss-79-S41-g003

References

1. Azar T, Berger DL. Adult intussusception. Ann Surg. 1997. 226:134–138.
2. Stubenbord WT, Thorbjarnarson B. Intussusception in adults. Ann Surg. 1970. 172:306–310.
3. Brayton D, Norris WJ. Intussusception in adults. Am J Surg. 1954. 88:32–43.
4. Ymaguchi M, Takeuchi S, Awazu S. Meckel's diverticulum. Investigation of 600 patients in Japanese literature. Am J Surg. 1978. 136:247–249.
5. Schwartz MJ, Lewis JH. Meckel's diverticulum: pitfalls in scintigraphic detection in the adult. Am J Gastroenterol. 1984. 79:611–618.
6. Mackey WC, Dineen P. A fifty year experience with Meckel's diverticulum. Surg Gynecol Obstet. 1983. 156:56–64.
7. Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg. 2005. 241:529–533.
8. Pantongrag-Brown L, Levine MS, Elsayed AM, Buetow PC, Agrons GA, Buck JL. Inverted Meckel diverticulum: clinical, radiologic, and pathologic findings. Radiology. 1996. 199:693–696.
9. Daneman A, Myers M, Shuckett B, Alton DJ. Sonographic appearances of inverted Meckel diverticulum with intussusception. Pediatr Radiol. 1997. 27:295–298.
10. Hamada T, Ishida O, Yasutomi M. Inverted Meckel diverticulum with intussusception: demonstration by CT. J Comput Assist Tomogr. 1996. 20:287–289.
TOOLS
Similar articles