Murshed Khaled A, Khawar Mahwish, Petkar Mahir
Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar.
Department of General Surgery, Hamad Medical Corporation, Doha, Qatar.
Case Rep Gastroenterol. 2020 Nov 11;14(3):609-614. doi: 10.1159/000509504. eCollection 2020 Sep-Dec.
Intussusception is the leading cause for intestinal obstruction in children. However, it accounts for only 5% of bowel obstructions in adults. Heterotopic gastric mucosa (HGM) can occur anywhere in the gastrointestinal tract; nevertheless, its occurrence in the small intestine is rare unless associated with remnants of vitelline duct (Meckel's diverticulum). Herein, we describe a case of a 33-year-old male who presented with symptoms and signs of intestinal obstruction caused by ileo-colic intussusception, in which polypoid HGM acted as the organic lead point for intussusception. Several cases of intussusception caused by HGM have been reported in pediatric age group; however, this event is exceedingly rare in adults.
肠套叠是儿童肠梗阻的主要原因。然而，它在成人肠梗阻中仅占5%。异位胃黏膜（HGM）可发生于胃肠道的任何部位；不过，其在小肠中的发生较为罕见，除非与卵黄管残余（梅克尔憩室）相关。在此，我们描述一例33岁男性患者，其表现出由回结肠型肠套叠导致的肠梗阻症状和体征，其中息肉样HGM作为肠套叠的器质性引导点。儿科年龄组已报道了几例由HGM引起的肠套叠病例；然而，这一情况在成人中极为罕见。
