Gastric heterotopia in rectum complicated by rectovesical fistula

Kalani, B. P.; Vaezzadeh, Karim; Sieber, William K.

doi:10.1007/bf01324959

Cited by 25 publications

(9 citation statements)

References 17 publications

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“…[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.…”

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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Section: Discussionmentioning

confidence: 99%

Giant polypoid gastric heterotopia in the small intestine in a boy

Cai

2017

Medicine

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“…Reports on the presence of H. pylori in gastric heterotopia in the rectum support the opinion that these bacteria may pass along the whole length of the gastrointestinal tract in a viable form and that the fecal-oral route of transmission is possible [1,2]. The inflammation associated with this infection may contribute to ulceration and bleeding or to more serious complications that are sometimes observed, such as perforation of the bowel, fistula formation or severe hemorrhage [2,6,17,18]. Dye et al [1] reported the resolution of chronic active inflammation of heterotopic mucosa after eradication of H. pylori.…”

Section: Discussionmentioning

confidence: 93%

Asymptomatic gastric heterotopia in the rectum with Helicobacter pylori infection

Swatek¹,

Wronecki²,

Ciechanek³

et al. 2015

pjp

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Gastric heterotopia is very rare in the rectum -less than 50 cases have been reported so far. Only in six of them Helicobacter pylori has been observed in heterotopic mucosa. We report a case of a 58-year-old woman with asymptomatic gastric heterotopia in the rectum, incidentally revealed during colonoscopy as a small, sessile polyp. The presence of H. pylori was confirmed by immunohistochemistry. This finding supports the opinion that H. pylori may pass along the gastrointestinal tract in a viable form and that the fecal-oral route of transmission is possible.

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“…Ectopic gastric mucosa, initially described by Shmidt in 1805, has been found in the esophagus; but it has also been described in other sites of the gastrointestinal tract, such as the tongue [4], the duodenum [5], the jejunum, the gallbladder [6], and the rectum [7]. In the esophagus, it is most commonly located just below the upper esophageal sphincter [2].…”

Section: Discussionmentioning

confidence: 97%

“…Ectopic gastric mucosas have been associated with fistulas: tracheoesophageal fistulas in the case of esophageal EGM, considered by some authors as a perforated peptic ulcer in the EGM [9], and rectovesical fistulas when it comes to EGM in the rectum [7]. …”

Section: Discussionmentioning

confidence: 99%