ILEAL DUPLICATION CYST ASSOCIATED WITH HETEROTOPIC PANCREAS - REPORT OF A CASE AND LITERATURE-REVIEW

A rare case of solitary ileal duplication cyst accompanied by heteroto pic pancreas in the terminal ileum is presented. An 8 year old boy wit h an ovoid shaped, elastic soft and pendant-growing ileal duplication cyst associated with aberrant pancreatic tissue but not communicating with the lumen of the ileum, underwent an adhesiotomy for a small inte stinal adhesion that caused bowel obstruction. The obstructive state o f the intestine seemed to be caused by an inflammation of the duplicat ion cyst which was 4.5 x 2.7 x 2.5 cm and oval in shape. Excision of t he cyst and the heterotopic pancreas was curative. The histological fi ndings were identical to heterotopic pancreas accompanied by ileal dup lication without any clinical features of heterotopic pancreas. A revi ew of the literature is presented along with the authors' experience i n a case of ileal duplication cyst associated with heterotopic pancrea s located in the ileum.