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Perforation of jejunal duplication lined with ectopic gastric mucosa
A S M Bazlul Karim1, M D Matiur Rahman, M Kamal
1Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. karimb@bangla.net
Insights
Alimentary tract duplications with ectopic gastric mucosa can cause serious complications. This case highlights the surgical management of a jejunal duplication perforation in a young child.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Anomalies
- Congenital Malformations
Background:
- Alimentary tract duplications are rare congenital anomalies.
- Ectopic gastric mucosa within duplications can secrete acid.
Observation:
- A 2-year-old girl presented with a perforated jejunal duplication.
- The duplication was lined with ectopic gastric mucosa.
Findings:
- The ectopic gastric mucosa led to acid secretion and subsequent perforation.
- Surgical intervention was required for management.
Implications:
- This case underscores the potential severity of ectopic gastric mucosa in duplications.
- Early surgical consideration is crucial for managing complications like perforation.
Abstract:
Alimentary tract duplications are rare congenital anomalies that occasionally contain ectopic gastric mucosa that secretes acid peptic juice and can cause pain, ulceration, bleeding and rarely perforation. We report a case of a 2-year-old girl who developed perforation of a jejunal duplication lined with ectopic gastric mucosa who was managed surgically.
Related Concept Videos
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
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Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Diverticular Disease of the Colon
Peptic Ulcer
Hiatal Hernia
