2007
DOI: 10.3748/wjg.13.6281
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Penetrating ectopic peptic ulcer in the absence of Meckel’s diverticulum ultimately presenting as small bowel obstruction

Abstract: We report here how a heterotopic penetrating peptic ulcer progressed to cause small bowel obstruction in a patient with multiple previous negative investigations. The clinical presentation, radiographic features and pathological findings of this case are described, along with the salient lessons learnt. The added value of wireless capsule endoscopy (WCE) in such circumstances is debated.

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Cited by 1 publication
(3 citation statements)
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“…Our reported case is similar to that of Hurley et al ., with the presence of ectopic gastric mucosa adjacent to a deep penetrating ulcer with chronic fibrosis. We cannot be absolutely sure whether this is heterotopic gastric mucosa or metaplastic change within the small intestinal mucosa.…”
supporting
confidence: 89%
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“…Our reported case is similar to that of Hurley et al ., with the presence of ectopic gastric mucosa adjacent to a deep penetrating ulcer with chronic fibrosis. We cannot be absolutely sure whether this is heterotopic gastric mucosa or metaplastic change within the small intestinal mucosa.…”
supporting
confidence: 89%
“…Complications of ectopic gastric mucosa of the small bowel may present at any age (from 3 months to 81 years). Ulceration with fibrosis may cause abdominal pain, intestinal obstruction, bleeding or perforation . It is worth noting that the operating surgeon (FAZ) was astonished to notice the unusual easiness in which the stenosis gave away when examined by his fingers.…”
mentioning
confidence: 99%
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