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

Rare case of ectopic pancreas presenting with persistent umbilical discharge

“…4 Zhao et al reviewed 18 patients with ectopic pancreas at the umbilicus and reported that most of them presented with umbilical discharge. 5 A definitive preoperative diagnosis is difficult to obtain, because ectopic pancreas is hard to detect. Zhao et al suggested that biopsy was useful for deciding on appropriate treatment for persistent umbilical discharge.…”

“…Zhao et al suggested that biopsy was useful for deciding on appropriate treatment for persistent umbilical discharge. 5 For example, measuring the pancreatic enzymes in the liquid from the umbilicus may aid in diagnosis.…”

Ultrasound findings for spontaneous regression of omphalomesenteric remnant after birth

“…The release of pertechnetate from mucous cells and/or parietal cells into the diverticular lumen has been suggested to be delayed, 3,4 but the exact mechanism behind enhancement of visualization remains unclear 2 . Ultrasound shows a cystic or tubular organ with a thick wall in the anterior abdominal wall at the level of the umbilicus 5,6 . In our case, positive Meckel scintigraphy findings raised suspicion of a remnant omphalomesenteric duct.…”