A case report of ectopic pancreatitis in an isolated enteric duplication cyst
Abstract Background Isolated enteric duplication cyst is an intestinal duplication cyst found in a distant location from the intestinal tract and it is said to have its own blood supply. Meckel’s diverticulm is considered as an antimesenteric structure and has its own blood supply. However, there ar...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-019-0531-7 |
| _version_ | 1828262516396916736 |
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| author | Yoshikazu Tanaka Go Nakai Hideki Tomiyama Yoshitaka Kurisu Yoshifumi Narumi |
| author_facet | Yoshikazu Tanaka Go Nakai Hideki Tomiyama Yoshitaka Kurisu Yoshifumi Narumi |
| author_sort | Yoshikazu Tanaka |
| collection | DOAJ |
| description | Abstract Background Isolated enteric duplication cyst is an intestinal duplication cyst found in a distant location from the intestinal tract and it is said to have its own blood supply. Meckel’s diverticulm is considered as an antimesenteric structure and has its own blood supply. However, there are some reported cases of Meckele’s diverticum in the mesenteric side. Ectopic pancreas may be found in both entities. Case presentation A 5-year-old girl presented with increasing abdominal pain around the umbilicus. On laboratory investigation serum pancreatic enzymes and C-reactive protein were elevated. Abdominal computed tomography (CT) revealed a normal pancreas but a cystic lesion in the mesentery of the ileum. A nodule with a marked enhancement was observed in the wall of the lesion. During the laparoscopy, the lesion was found at the root of the mesentery and was distant from the ileum. The lesion was resected suspecting an abscess. Pathologically, the wall of the lesion consisted of small bowel like tissue, and pancreatic tissue was seen beneath the mucosa. There were some post inflammatory changes in the pancreatic tissue. Retrospectively on thin slice enhanced CT, an independent blood supply was noted. Based on these findings, a diagnosis of ectopic pancreatitis in an iliac intestinal duplication cyst was made. Conclusion Isolated enteric duplication cyst in the root of ileal mesentery and mesenteric Meckel’s diverticulum have similarities. In the present case, the diagnosis of isolated enteric duplication cyst was made since it was found distant from the ileum. It is important to consider the possibility of ectopic pancreatitis when serum pancreatic enzymes are elevated even when the pancreas appears normal. |
| first_indexed | 2024-04-13T03:56:16Z |
| format | Article |
| id | doaj.art-195ccd8c48da48fa85b2f75b8991a1cc |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-13T03:56:16Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-195ccd8c48da48fa85b2f75b8991a1cc2022-12-22T03:03:36ZengBMCBMC Surgery1471-24822019-06-011911510.1186/s12893-019-0531-7A case report of ectopic pancreatitis in an isolated enteric duplication cystYoshikazu Tanaka0Go Nakai1Hideki Tomiyama2Yoshitaka Kurisu3Yoshifumi Narumi4Department of Radiology, Osaka Medical CollegeDepartment of Radiology, Osaka Medical CollegeDepartment of Surgery, Osaka Medical CollegeDepartment of Pathology, Osaka Medical CollegeDepartment of Radiology, Osaka Medical CollegeAbstract Background Isolated enteric duplication cyst is an intestinal duplication cyst found in a distant location from the intestinal tract and it is said to have its own blood supply. Meckel’s diverticulm is considered as an antimesenteric structure and has its own blood supply. However, there are some reported cases of Meckele’s diverticum in the mesenteric side. Ectopic pancreas may be found in both entities. Case presentation A 5-year-old girl presented with increasing abdominal pain around the umbilicus. On laboratory investigation serum pancreatic enzymes and C-reactive protein were elevated. Abdominal computed tomography (CT) revealed a normal pancreas but a cystic lesion in the mesentery of the ileum. A nodule with a marked enhancement was observed in the wall of the lesion. During the laparoscopy, the lesion was found at the root of the mesentery and was distant from the ileum. The lesion was resected suspecting an abscess. Pathologically, the wall of the lesion consisted of small bowel like tissue, and pancreatic tissue was seen beneath the mucosa. There were some post inflammatory changes in the pancreatic tissue. Retrospectively on thin slice enhanced CT, an independent blood supply was noted. Based on these findings, a diagnosis of ectopic pancreatitis in an iliac intestinal duplication cyst was made. Conclusion Isolated enteric duplication cyst in the root of ileal mesentery and mesenteric Meckel’s diverticulum have similarities. In the present case, the diagnosis of isolated enteric duplication cyst was made since it was found distant from the ileum. It is important to consider the possibility of ectopic pancreatitis when serum pancreatic enzymes are elevated even when the pancreas appears normal.http://link.springer.com/article/10.1186/s12893-019-0531-7Isolated enteric duplication cystMesenteric Meckel’s diverticulumEctopic pancreas |
| spellingShingle | Yoshikazu Tanaka Go Nakai Hideki Tomiyama Yoshitaka Kurisu Yoshifumi Narumi A case report of ectopic pancreatitis in an isolated enteric duplication cyst BMC Surgery Isolated enteric duplication cyst Mesenteric Meckel’s diverticulum Ectopic pancreas |
| title | A case report of ectopic pancreatitis in an isolated enteric duplication cyst |
| title_full | A case report of ectopic pancreatitis in an isolated enteric duplication cyst |
| title_fullStr | A case report of ectopic pancreatitis in an isolated enteric duplication cyst |
| title_full_unstemmed | A case report of ectopic pancreatitis in an isolated enteric duplication cyst |
| title_short | A case report of ectopic pancreatitis in an isolated enteric duplication cyst |
| title_sort | case report of ectopic pancreatitis in an isolated enteric duplication cyst |
| topic | Isolated enteric duplication cyst Mesenteric Meckel’s diverticulum Ectopic pancreas |
| url | http://link.springer.com/article/10.1186/s12893-019-0531-7 |
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