scholarly journals Small bowel heterotopic gastric mucosa as a lead point for recurring intussusception

Author(s):  
Justin C. Dourado ◽  
Anne Fischer
1987 ◽  
Vol 60 (715) ◽  
pp. 710-712 ◽  
Author(s):  
J. P. A. Lodge ◽  
T. G. Brennan ◽  
A. H. Chapman

JMS SKIMS ◽  
2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Jan Mohammad Rather ◽  
Sobia Manzoor ◽  
Rauf Ahmad Wani

Heterotopic gastric mucosa (HGM) has been described as an incidental finding in various parts of gastrointestinal tract. HGM of the small bowel is a congenital disorder with variable manifestations like bleeding, obstruction or perforation, penetration into adjacent organs, and fistulization. We present a case of a 55 year old female being evaluated for anemia associated with recurrent episodes of diarrhoea and dyspepsia. The cause was found to be HGM in thejejunum.


2020 ◽  
Vol 14 (3) ◽  
pp. 609-614
Author(s):  
Khaled A. Murshed ◽  
Mahwish Khawar ◽  
Mahir Petkar

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.


2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
John Gubatan ◽  
Nathan Raines ◽  
Hasan Khosravi ◽  
Tracy L. Challies ◽  
Tyler M. Berzin

Gastric antral vascular ectasias (GAVE) have been increasingly recognized as an uncommon cause of chronic gastrointestinal bleeding and anemia, although their underlying pathogenesis is not completely well understood. Heterotopic gastric mucosa (HGM) has been reported to occur at various sites along the gastrointestinal tract and although relatively common, it is often asymptomatic. We report a case of a 60-year-old woman with a prior history of GAVE who developed melena and symptomatic anemia during her hospitalization following cardiac catheterization. Initial EGD demonstrated nonbleeding antral GAVE and a newly discovered duodenal mass. Duodenal mass biopsies were ultimately notable for HGM along with histologic features of extra-antral GAVE. The patient required blood transfusions and consequently had a small bowel endoscopy notable for fresh blood in the proximal small bowel. The patient underwent a small bowel push enteroscopy which demonstrated active bleeding of the duodenal mass and overlying oozing GAVE, which was cauterized with Argon-Plasma Coagulation with adequate hemostasis. We present for the first time a novel association between GAVE and HGM. Our case illustrates that extra-antral GAVE may occur with HGM in the duodenum. We explore potential mechanisms by which HGM may be involved in the pathogenesis of GAVE.


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