Small bowel heterotopic gastric mucosa as a lead point for recurring intussusception
| Autor: | Anne C. Fischer, Justin C. Dourado |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pertechnetate RD1-811 Asymptomatic Palpation Pediatrics RJ1-570 chemistry.chemical_compound Intussusception (medical disorder) medicine Gastric mucosa Gastrointestinal tract medicine.diagnostic_test business.industry Heterotopic gastric mucosa medicine.disease medicine.anatomical_structure chemistry Meckel's diverticulum Pediatrics Perinatology and Child Health Ligament Surgery Radiology medicine.symptom business Intussusception Diverticulum |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 72, Iss, Pp 101946-(2021) |
| ISSN: | 2213-5766 |
| Popis: | Heterotopic gastric mucosa (HGM) can be discovered anywhere along the gastrointestinal tract but is a rare entity beyond the ligament of Treitz in the absence of Meckel's Diverticulum. These lesions are often asymptomatic and there have been very limited reports of HGM alone presenting as intussusception. In the few cases presented, most utilized a 99 mTc pertechnetate scan (Meckel's scan) or intraoperative palpation of the small bowel to aid in identification of the HGM. We present a case of a 6-year-old male with a total of six episodes of recurrent intussusception caused by an ileal islet of HGM with no pathologic lead point identified over multiple modalities of investigation including one prior manual evaluation of the small bowel. The current literature regarding the diagnosis and management of these lesions is reviewed and a proposed algorithm for patients with recurrent intussusception is presented. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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