Thompson Rachel, Glogowski Sarah, Ghazi Alexia, Davis James
Department of General Surgery, Baylor University Medical Center, Dallas, Texas.
Department of Pathology, Baylor University Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2021 Jan 22;34(3):369-370. doi: 10.1080/08998280.2021.1872356.
Jejunal atresia is a well-known congenital malformation attributed to in utero ischemic events. Heterotopic gastric mucosa (HGM), or gastric tissue present in a location other than the stomach, is a much rarer congenital anomaly and is generally found in the esophagus or within a Meckel's diverticulum. Identifying both within the same pathologic specimen is truly rare. This report outlines a case of jejunal atresia wherein HGM was identified within postoperative pathology evaluation of the specimen. An early episode of restenosis at the anastomosis prompted operative re-exploration, in which additional HGM was found within the specimen.
空肠闭锁是一种众所周知的先天性畸形，归因于子宫内缺血事件。异位胃黏膜（HGM），即存在于胃以外部位的胃组织，是一种更为罕见的先天性异常，通常见于食管或梅克尔憩室内。在同一病理标本中同时发现这两种情况确实罕见。本报告概述了一例空肠闭锁病例，其中在标本的术后病理评估中发现了HGM。吻合口早期再狭窄促使再次手术探查，术中在标本中发现了更多的HGM。
