Ricerc@Sapienza

Introduction Isolated heterotopic pancreas (HP) as the primary cause of bowel intussusception is extremely rare. We report
a case of a 33-year-old female patient with spina bifida admitted to the Emergency Surgical Department for ileal intussusception
due to the presence of heterotopic pancreas associated with endometriosis.
Areas Covered Symptomatic ileal intussusception for ectopic pancreas is usually associated with overt gastrointestinal blood
loss (predominantly melena), abdominal pain, vomiting, and weight loss. Treatment is universally surgical.

Adenocarcinoma as the primary cause of bowel intussusception is uncommon. We describe the case of a 86-year-old patient admitted for ileocecal intussusception due to the presence of adenocarcinoma, located in the ileocecal valve and right colon. The etiologies of intussusception, its diagnosis, and conservative or surgical treatments are discussed, with attention placed on the indications for reduction of the invagination prior to surgical resection.