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Updated: Feb 15, 2026

Measuring Deformability and Red Cell Heterogeneity in Blood by Ektacytometry
09:12

Measuring Deformability and Red Cell Heterogeneity in Blood by Ektacytometry

Published on: January 12, 2018

15.5K

Rectal red blood loss in a healthy toddler is not always a juvenile polyp

T Rousseff, L Matthyssens, K Van Renterghem

    Acta Gastro-Enterologica Belgica
    |January 25, 2018
    PubMed

    Insights

    Heterotopic gastric mucosa in the rectum is rare but should be considered in children with rectal bleeding. Early diagnosis and biopsy during endoscopy are crucial for effective treatment.

    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Pathology

    Background:

    • Heterotopic gastric mucosa is a congenital anomaly typically found in Meckel's diverticula and duplication cysts.
    • Solitary heterotopic gastric mucosa in the rectum is a rare condition often overlooked.

    Observation:

    • A 3-year-old girl presented with recurrent rectal bleeding due to solitary rectal heterotopic gastric mucosa.
    • Symptoms in children include rectal bleeding (96%), pain (46%), and perineal ulcers (25%).
    • Endoscopic findings vary, including mucosal elevations, polyps, and solitary ulcers.

    Findings:

    • This case adds to the 34 adults and 24 children previously reported with rectal heterotopic gastric mucosa.
    • A male predominance (69%) is observed in reported cases.
    • Children typically present with bleeding, while adults more frequently have polyps.

    Implications:

    • Rectal heterotopic gastric mucosa should be included in the differential diagnosis for children with recurrent rectal bleeding.
    • Endoscopic biopsy is essential for diagnosis.
    • Treatment approaches differ between children (primarily surgical) and adults (more endoscopic techniques).

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