All issues > Volume 41(10); 1998

Case Report

J Korean Pediatr Soc. 1998;41(10):1438-1441. Published online October 15, 1998.

A Case of Ectopic Pancreas with Malrotation

Il Song IS Kang¹, Kil Soo KS Chung¹, Jae Kook JK Cha¹, Kon Hee KH Lee¹, Kwan Seop KS Lee², Byung Chun BC Kim³, Eun Sook ES Nam⁴

¹Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
²Department of Radiolgy, College of Medicine, Hallym University, Seoul, Korea
³Department of General Surgery, College of Medicine, Hallym University, Seoul, Korea
⁴Department of Pathology, College of Medicine, Hallym University, Seoul, Korea

Correspondence Il Song IS Kang ,Email: 1

Abstract

Ectopic pancreas is defined as pancreatic tissue lacking anatomical and vascular continuity with the main body of the pancreas. Common symptoms are epigastric pain, hemorrhage, chest pain, weight loss, nausea and vomiting. A 2-month-old male patient was hospitalized because of continuous bile stained vomiting for 2 days. Abdominal ultrasonography and colon study showed malrotation of the intestine. Surgical exploration revealed the ectopic pancreas on the 10cm lower portion of Treitz ligament and rotation of terminal ileum. We performed adhesiolysis, small bowel resection and anastomosis. The diagnosis of ectopic pancreas was made by histologic examination. We report a case of ectopic pancreas with intestinal adhesion and malrotation with brief review of related literatures.

Keywords :Ectopic pancreas, Intestinal adhesion, Malrotation