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Recurrent small intestinal perforation from gastric mucosal heterotopia: A case report
Zhi-Wang Li1, Tao-Feng Jiang2, Cheng-Kun Yang1
1Department of Gastrointestinal Surgery, Meizhou People's Hospital, Meizhou 514031, Guangdong Province, China.
Gastric mucosal heterotopia (GMH) can cause rare but severe small intestinal perforations. This case highlights GMH as a critical consideration for unexplained recurrent gastrointestinal perforations.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Gastric mucosal heterotopia (GMH) is ectopic gastric tissue outside the stomach, usually asymptomatic.
- GMH can cause severe complications, notably small intestinal perforation.
Observation:
- A 13-year-old female presented with recurrent small intestinal perforations requiring multiple surgeries.
- Imaging showed localized bowel thickening and perforation.
Findings:
- Pathological analysis confirmed GMH as the cause of extensive ulceration and perforation in the ileum.
- The patient recovered well post-resection and anastomosis.
Implications:
- This case underscores the importance of considering GMH in patients with unexplained recurrent intestinal perforations.
- Early diagnosis and consideration of GMH can prevent severe complications.
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