Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2018; 6(14): 847-853
Published online Nov 26, 2018. doi: 10.12998/wjcc.v6.i14.847
Mesenteric heterotopic pancreas in a pediatric patient: A case report and review of literature
Xiao-Bing Tang, Min-Yi Liao, Wei-Lin Wang, Yu-Zuo Bai
Xiao-Bing Tang, Min-Yi Liao, Wei-Lin Wang, Yu-Zuo Bai, Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Bai YZ and Wang WL designed the report; Tang XB and Liao MY wrote the paper; Tang XB and Bai YZ collected the patient’s clinical data; Wang WL and Bai YZ revised the manuscript.
Supported by the Outstanding Scientific Fund of Shengjing Hospital, No. m201502.
Informed consent statement: Informed consent to publish was obtained from the parents of the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yu-Zuo Bai, MD, PhD, Full Professor, Pediatric Surgeon, Department of Pediatric Surgery, Shengjing Hospital, China Medical University, No. 36, Sanhao Street, Heping District, Shenyang 110004, Liaoning Province, China. baiyz@sj-hospital.org
Telephone: +86-24-9661557111 Fax: +86-24-23892617
Received: May 29, 2018
Peer-review started: May 29, 2018
First decision: July 8, 2018
Revised: July 20, 2018
Accepted: October 22, 2018
Article in press: October 22, 2018
Published online: November 26, 2018
Processing time: 181 Days and 11.2 Hours
Abstract

Heterotopic pancreas (HP) is a congenital anomaly defined as pancreatic tissue that has no contact with the orthotopic pancreas and its own duct system and vascular supply. The most common locations of HP are the upper gastrointestinal tract, specifically, the stomach, duodenum, and proximal jejunum. Involvement of the mesentery is rare. Here, we describe a rare case of mesenteric heterotopic pancreas (MHP) in a 12-year-old girl who presented with acute abdomen. The patient underwent emergency laparotomy, and the mass and adjacent small bowel were resected. Results of the postoperative histopathologic examination confirmed the diagnosis of MHP. Observation of the patient for 12 mo postoperatively showed no evidence of recurrence. Preoperative diagnosis of HP is difficult, even in a symptomatic patient. Increased awareness and understanding of the image characteristics of MHP will aid in correct preoperative diagnosis and appropriate patient management.

Keywords: Heterotopic pancreas; Mesenteric; Acute abdomen; Computed tomography; Magnetic resonance imaging; Case report

Core tip: Heterotopic pancreas (HP) is a congenital anomaly defined as pancreatic tissue that has no contact with the orthotopic pancreas and its own duct system and vascular supply. The most common locations of HP are the upper gastrointestinal tract, specifically, the stomach, duodenum, and proximal jejunum. Involvement of the mesentery is rare. Here, we describe a rare case of mesenteric heterotopic pancreas (MHP) in a 12-year-old girl who presented with acute abdomen. MHP should be considered in the differential diagnosis of a mesenteric mass, especially when its morphology and enhancement are similar to those of orthotopic pancreas.