A rare clinical presentation of heterotopic gastric mucosa of the jejunum: A case report and review of the literature

Al-Jadaan, Saud; Oda, Omar

doi:10.1016/j.epsc.2014.06.012

Cited by 11 publications

(15 citation statements)

References 16 publications

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“…Common locations include the oesophagus, duodenum and Meckel's diverticulum 4. Rarely, as in our case, HGM can occur in the jejunum 5.…”

Section: Introductionsupporting

confidence: 48%

“…In the small bowel, the most common symptoms of HGM are: ulceration, bleeding, perforation, intussusception, pain and abdominal distension, although it can be asymptomatic. HGM presenting as a polypoid mass in the jejunum causing gastrointestinal bleeding is very uncommon, like in our case, with very few reports avaiable 4 5. Diagnosis can be therefore very challenging.…”

Section: Discussionmentioning

confidence: 59%

“…Abdominal ultrasound scan, CT or MRI can rarely reveal an intussusception or an intraluminal polypoid mass 4 6. In the past, 99 m Tc-pertechnetate scintigraphy was suggested as a potential diagnostic tool because of its strong affinity for gastric mucosa, although of late it has been abandoned because of its low specificity and sensitivity.…”

Section: Discussionmentioning

confidence: 99%

“…It is supposed that HGM originates from the primitive gut epithelium as a congenital anomaly which dissociates from the primordial stomach at the fourth week of gestation and undergoes hyperplasia over time 1 2. It can be classified as congenital (heterotopic) or acquired (metaplastic) 3 4…”

Section: Introductionmentioning

confidence: 99%

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Long-term intestinal bleeding in a child: a rare case of heterotopic gastric mucosa in the jejunum

Leng

Ghionzoli²,

Caporalini

et al. 2016

BMJ Case Reports

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We report a rare case of heterotopic gastric mucosa presenting in a jejunal polyp of a 9-year-old girl, diagnosed with capsule endoscopy and laparoscopic exploration, after a 15-month history of lower gastrointestinal bleeding and anaemia. During surgery, the jejunal segment containing the polyp was resected and pathological examination revealed a polyp with gastric heterotopia. Heterotopic gastric mucosa is a rare pathology characterised by the presence of gastric mucosa outside of the stomach. Heterotopic gastric mucosa usually occurs in the oesophagus, duodenum, Meckel's diverticulum and enteric duplication cysts. It can be either congenital (heterotopic) or acquired (metaplastic). Symptoms vary from mild dyspepsia to massive gastrointestinal bleeding.

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“…Common locations include the oesophagus, duodenum and Meckel's diverticulum 4. Rarely, as in our case, HGM can occur in the jejunum 5.…”

Section: Introductionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long-term intestinal bleeding in a child: a rare case of heterotopic gastric mucosa in the jejunum

Leng

Ghionzoli²,

Caporalini

et al. 2016

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…[14–18] It also can cause failure to thrive because of the chronic abdominal pain associated with recurrent episodes of vomiting and diarrhea. [19] Our case was unique in that the lesion appeared as a giant polyp composed of heterotopic gastric mucosa in the small intestine. Polypoid gastric heterotopia is normally present sporadic, small in dimension and with no symptoms.…”

Section: Discussionmentioning

confidence: 99%

Giant polypoid gastric heterotopia in the small intestine in a boy

Cai

2017

Medicine

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Rationale:Heterotopic gastric mucosa has been described at various locations of the body; however, the polyp composed of heterotopic gastric mucosa in the small intestine is rare.Patient concerns:A 15-year-old boy visited us for investigation of recurrent episodes of melena. Capsule endoscopy (CE) revealed a polypoid tumor in the ileum, with an active nearby hemorrhage. Contrast-enhanced computed tomography (CECT) showed a tumor in the right quadrant of the abdomen, with a diameter of about 18 × 14 mm.Diagnoses:The patient was diagnosed with polypoid gastric heterotopia.Interventions:We performed an operation to resect the lesion.Outcomes:The patient recovered smoothly after surgery and was discharged on postoperative day 7 and followed up for 3 months. He has not experienced gastrointestinal intestinal (GI) symptoms up to now.Lessons:Giant polypoid gastric heterotopia in the small intestine is extremely rare, which can express as an occasional finding with or without symptoms. Surgical resection is the preferred therapy when symptoms appear.

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A rare clinical presentation of heterotopic gastric mucosa of the jejunum: A case report and review of the literature

Cited by 11 publications

References 16 publications

Long-term intestinal bleeding in a child: a rare case of heterotopic gastric mucosa in the jejunum

Long-term intestinal bleeding in a child: a rare case of heterotopic gastric mucosa in the jejunum

Giant polypoid gastric heterotopia in the small intestine in a boy

Small bowel heterotopic gastric mucosa as a lead point for recurring intussusception

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