Vani M, Nambiar Ajit, Geetha K, Kundil Byju
Associate Professor, Department of Pathology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India.
Professor and Head, Department of Pathology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India.
J Clin Diagn Res. 2017 Mar;11(3):ED11-ED12. doi: 10.7860/JCDR/2017/25585.9590. Epub 2017 Mar 1.
Gastric heterotopias beyond the ligament of Treitz though rare, should be thought of in the differential diagnosis of polypoid lesions presenting with gastrointestinal bleed or obstructive symptoms especially in children and in the young. Here is a 24-year-old male with multifocal jejunal gastric heterotopias causing multiple strictures and perforation peritonitis. Patient presented with acute abdomen pain and an emergency laparotomy was performed revealing jejunum with multiple strictures and perforation, followed by jejunal resection. On gross examination polypoid mucosa was noted at the stricture sites which showed heterotopic gastric mucosa on microscopy. Jejunal gastric heterotopias are extremely rare with less than ten reported cases and those presenting with multiple strictures are even rarer. To our knowledge this is the second case of jejunal gastric heterotopia presenting with multiple strictures.
十二指肠悬韧带以外的胃异位虽然罕见，但在鉴别诊断出现胃肠道出血或梗阻症状的息肉样病变时应予以考虑，尤其是在儿童和年轻人中。本文报告一名24岁男性，患有多灶性空肠胃异位，导致多处狭窄和穿孔性腹膜炎。患者因急性腹痛就诊，行急诊剖腹探查术，发现空肠多处狭窄和穿孔，随后行空肠切除术。大体检查发现狭窄部位有息肉样黏膜，显微镜检查显示为异位胃黏膜。空肠胃异位极为罕见，报告病例少于10例，而出现多处狭窄的病例更为罕见。据我们所知，这是第二例出现多处狭窄的空肠胃异位病例。
