Ectopic pancreatic rests: a rare cause of persistent umbilical discharge

Abstract

Ectopic pancreatic rests are rare. We report two cases discovered in infants who underwent surgical exploration of the umbilicus for persistent umbilical discharge with peri-umbilical excoriation. A shallow sinus leading to a firm cyst was excised in both infants, and histopathological study confirmed the presence of exocrine and endocrine pancreatic tissue. There is only one other case of ectopic umbilical pancreatic tissue reported, and this was in a patient presenting with an umbilical mass.

Ectopic gastric and pancreatic tissue: a rare cause of umbilical discharge

“…Tan et al reported two similar cases which were caused by columnar epithelium-lined umbilical sinuses leading to ectopic pancreatic rests. 10 In our case, the ectopic tissue was in an umbilical nodule consisting solely of gastric and pancreatic tissue with no intestinal mucosa. The fibrous cord connecting the nodule to the ileal mesentery was probably a remnant of the obliterated right vitelline artery.…”

Heterotopic pancreas in the omphalomesenteric duct remnant in a 9-month-old girl: a case report and literature review

“…Here we present a 9-month-old baby girl with heterotopic pancreatic tissue in the omphalomesenteric duct (OMD) remnant. Literature review of other 17 cases of heterotopic pancreas reported at the umbilicus has been performed [1][2][3][4][5][6][7][8][9][10][11][12].…”

Large Supraumbilical Pseudocystic Tumour due to Ectopic Pancreatic Tissue Located in a Rest of the Omphaloenteric Duct

“…Ectopic pancreatic remnants at the umbilicus causing complications are quite rare malformations. Only three cases of umbilical pancreatic remnants have been previously reported, presented as an umbilical mass or persistent umbilical discharge, respectively (3,18).…”