The word “Heterotropia” means other places, the words gastric and pancreatic heterotropia mean the presence of gastric or pancreatic tissue outside the normal location. It is most often misdiagnosed or over diagnosed due to a rare clinical presentation. Hence, we report a rare case of ectopic gastric and pancreatic tissue in an ileal lipoma in a 31-year-old female who was admitted with the complaint of pain and distension of the abdomen. The diagnosis was confirmed at histopathology. We present this case due to the coexistence of all three histological entities in a distal ileal lesion presenting as an intussusception.