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Special Feature
July 1999

Radiological Case of the Month

Arch Pediatr Adolesc Med. 1999;153(7):763-764. doi:

Figure 1. Computed tomographic scan showed a hyperdense mass occupying the cecum area.

Figure 2. Arrow points to target sign suggesting intussusception.

Figure 3. The cecal filling defect seen at enteroclysis.

Figure 4. Endoscopic view of polypoid cecal lesion that extends into the ascending colon.

Figure 5. Operative specimen showing resected ileal segment.

Figure 6. Opened specimen shows polypoid lesion with its long pedicule.

Figure 7. Gastric heterotopic mucosa and foci of pancreatic tissue.

At laparotomy an ileocecolic intussusception was reduced and the ileal segment containing a tumor was resected ( Figure 5). The lead point was a large pedunculated polyp (Figure 6). Histologic examination showed that the polyp consisted mainly of heterotopic gastric antral and fundic mucosa and foci of pancreatic tissue (Figure 7).