GASTRIC AND PANCREATIC HETEROTOPIA PRESENTING AS PATHOLOGICAL INTUSSUSCEPTION IN AN ADULT FEMALE

Gastric and pancreatic heterotopias are rare entities. They have been identified throughout the entire length of the gastrointestinal tract and in other structures, including Meckel’s diverticulum and the Ampulla of Vater. However, very few cases of combined gastric and pancreatic heterotopias in ileum have been reported till date. Also, intussusceptions in adults are uncommon. Here we report a novel case of combined gastric and pancreatic heterotopia in ileum in a 32-year-old female. The patient presented with complaints of pain in abdomen and bleeding per rectum. On computed tomography, ileo-ileal intussusception was seen in the distal ileum. Exploratory laparotomy revealed an ileal polyp. The ileal segment with the polyp was resected and sent for histpathological examination. It was diagnosed as heterotopic gastric and pancreatic tissue in ileum. It highlights the importance of histopathological examination for definitive diagnosis of this rare clinical entity.