An unusual case of gastric outlet obstruction

A 13-year-old boy was referred to our hospital for investigation of intermittent abdominal colic pain and vomiting. He underwent an emergency laparotomy, which revealed a volvulus and segmental dilatation of the ileum. The dilated intestine was not associated with poor intestinal circulation. Because the dilated ileum did not seem to be the cause of the volvulus, we simply released the volvulus. However, after surgery, the patient still suffered from persistent abdominal pain, further episodes of volvulus, and invagination of the dilated ileum. Thus, we performed a second operation to resect the segmental dilatation of the ileum. Pathological examination revealed that most of the mucosa of the dilated ileum was composed of ectopic gastric mucosa. We postulate that the ectopic gastric mucosa led to the formation of segmental dilatation of the ileum.

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Segmental Dilatation of the Ileum Covered Almost Entirely by Gastric Mucosa: Report of a Case

Kobayashi

Uchida²,

Shiojima³

et al. 2007

Surg Today

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An unusual case of gastric outlet obstruction

Cited by 1 publication

References 6 publications

Segmental Dilatation of the Ileum Covered Almost Entirely by Gastric Mucosa: Report of a Case

Segmental Dilatation of the Ileum Covered Almost Entirely by Gastric Mucosa: Report of a Case

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