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Gastric heterotopia causing jejunal ulceration and obstruction
Galya E Chinnery1, Marc M Bernon, M Asief Banderker
1Surgical Gastroenterology Unit, Department of Surgery, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa. galyachinnery@gmail.com.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|November 12, 2013
Summary
Gastric heterotopia in the jejunum is a rare cause of intestinal obstruction. This case highlights jejunal gastric heterotopia leading to ulceration, stricture, and obstruction in a young woman.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Gastric heterotopia, the presence of gastric tissue outside the stomach, is uncommon.
- When occurring in the small intestine, it can lead to various gastrointestinal complications.
- Symptomatic presentations are rare, particularly in the jejunum.
Observation:
- A young woman presented with persistent vomiting after meals.
- Imaging revealed a high-grade stricture in the proximal jejunum.
- Surgical intervention was required to address the obstruction.
Findings:
- Histopathological examination of the resected jejunal segment showed gastric heterotopia.
- The heterotopic tissue exhibited localized ulceration and significant fibrosis.
- These findings correlated with the observed stricture and obstruction.
Implications:
- This case represents the first reported instance of jejunal gastric heterotopia causing ulceration, stricturing, and obstruction.
- It underscores the importance of considering rare ectopic tissue presentations in diagnosing intestinal obstruction.
- Further research may elucidate the specific mechanisms and long-term management of jejunal gastric heterotopia.
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