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
ARTICLE HIGHLIGHTS
Case characteristic

A 12-year-old girl with intermittent vomiting and abdominal pain for 3 d.

Clinical diagnosis

Mesenteric mass.

Differential diagnosis

Intestinal duplication cyst, inflammated Meckel’s diverticulum, and mesenteric lymphangioma were considered.

Laboratory diagnosis

The laboratory results were unremarkable.

Imaging diagnosis

Contrast-enhanced computed tomography (CECT) of the abdomen showed an enhanced oval, soft-tissue mass (42 mm × 25 mm) in the mesentery at the level of the umbilicus.

Pathological diagnosis

Mesenteric heterotopic pancreas (MHP).

Treatment

Resection of the mass and adjacent small bowel.

Related reports

Two cases of pediatric MHP have been reported in the medical literature from the University of Chicago Medical Center and Boston City Hospital.

Term explanation

Heterotopic pancreas of the mesentery.

Experiences and lessons

This case will contribute to increasing clinicians’ awareness and understanding of the imaging features of MHP in order to help in making correct preoperative diagnosis and giving appropriate treatment.