Case Report

Volume: 5 | Issue: 2 | Published: Feb 10, 2021 | Pages: 43 - 45 | DOI: 10.24911/ejmcr/173-1589808780

An unusual case of heterotopic pancreas in the umbilical sinus of a child


Authors: Norly Salleh , Noor 'Ain Mohd Nasir , Mohd Shafiq Rahman , Ahmad Taufik Abu Bakar


Article Info

Authors

Norly Salleh

Department of Surgery, Hospital Segamat, Johor, Malaysia

Noor 'Ain Mohd Nasir

Satellite Clinical Research Centre, Hospital Segamat, Johor, Malaysia

Mohd Shafiq Rahman

Department of Pathology, Hospital Pakar Sultanah Fatimah, Muar, Johor, Malaysia

Ahmad Taufik Abu Bakar

Department of Surgery, Hospital Segamat, Johor, Malaysia

Publication History

Received: May 20, 2020

Revised: September 26, 2020

Accepted: October 21, 2020

Published: February 10, 2021


Abstract


Background: Heterotopic pancreas is the presence of pancreatic tissue outside its normal location, mostly in the gastrointestinal tract. It is rare and most patients are asymptomatic adults. The presence of heterotopic pancreas in the umbilicus and the pediatric age group is even more rare. Case Presentation: An 18-month-old boy presented with clear umbilical discharge since birth. On examination, there was a swollen and inflamed umbilicus. Exploration and excision of the umbilical lesion were done. Histopathological examination of the lesion reported as umbilical sinus with the presence of heterotopic pancreas. He was discharged well with no complications seen on the follow-up review. Conclusions: Heterotopic pancreas is rare. Awareness of this condition is important in order for the patient to be managed accordingly.

Keywords: Heterotopic pancreas, umbilicus, pediatric, umbilical sinus, case report, green