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Pancreatic Heterotopia Mimicking an Internal Hernia

Leigh Gerson, DO1, Danielle Luchessi1, John Brady1, Timothy Harrison2. 1Philadelphia College of Osteopathic Medicine, 2Crozer Chester Medical Center

Pancreatopic heterotopia is often an incidental finding on autopsy, but in some cases can lead to abdominal pain, obstruction, or intussusception. We present a case of pancreatic herterotopia mimicking an internal hernia on radiologic imaging.

A 47 year old female with seven month history of chronic abdominal pain treated for low back pain and recurrent urinary tract infections. She was found to have a Computed Tomography (CT) scan concerning for internal hernia and labs consistent with acidosis. She was taken for a laparotomy and did not have an internal hernia, but an exophytic mass in the proximal jejunum. The mass was resected and a stapled side to side jejunojejunostomy was created. On pathologic review, the specimen was found to be pancreatic heterotopia. Her post operative course was complicated by an ileus, but was discharged post op day three. At her two week follow up she had minimal incisional pain and at one year follow-up she had resolution of her left upper quadrant abdominal pain.

Prior to this report, pancreatic heterotopia has never been described as presenting on CT scan as an internal hernia. Although uncommon it should remain in the differential when evaluating a patient presenting with abdominal pain and radiologic evidence of obstruction or internal hernia.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 84801

Program Number: P149

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

37

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