Polypoid heterotopic gastric mucosa: in terminal ileum causing extensive lower gastrointestinal bleeding without Meckel's diverticulum: a case report.

Autor: Aslanabadi S; Section of Pediatric Surgery, Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran., Badebarin D; Section of Pediatric Surgery, Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran., Ghavifekr NH; Section of Pediatric Surgery, Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran., Ghasemi B; Department of Pathology, Tabriz University of Medical Sciences, Tabriz, Iran., Shoaran M; Department of Pediatrics, Tabriz University of Medical Sciences, Tabriz, Iran., Hesari M; Tabriz University of Medical Sciences, Tabriz, Iran. hesarimarjan1992@gmail.com.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Aug 06; Vol. 18 (1), pp. 357. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1186/s13256-024-04644-7
Abstrakt: Background: Heterotopic gastric mucosa (HGM) can be located in various parts of the gastrointestinal tract. As a rare anomaly in the small intestine, it can become complicated by intussusception, obstruction, gastrointestinal bleeding, and even peritonitis, leading to death.
Case Presentation: This case report focuses on a 12-year-old Middle Eastern boy who presented with hematochezia and abdominal pain for a couple of days. A tagged Red blood cell (RBC) scan and Technetium scan revealed gastrointestinal bleeding at the lower abdomen, highly suggestive of the diagnosis of Meckel's diverticulum. Subsequently, exploratory laparotomy revealed contiguous and scattered mucosal lesions with multiple polyps of various sizes in the terminal ileum. Meckel's diverticulum was absent, and the patient was treated with resection and primary anastomosis. The resected tissue revealed extensive ectopic gastric mucosa and polypoid tissues. The patient recovered uneventfully and was discharged four days after the surgery. The symptoms did not recur within six months after his surgery.
Conclusion: Our case demonstrated that despite the rarity of multiple polypoid gastric heterotopias in the terminal ileum, it should be considered as one of the differential diagnoses of gastrointestinal tract bleeding.
(© 2024. The Author(s).)
Databáze: MEDLINE
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