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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.

World Journal of Gastrointestinal Surgery
|December 30, 2024
PubMed
Abstract

Insights

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.
Keywords:
Case reportClinical diagnosisGastric mucosal heterotopiaIntestinal complicationsRecurrent perforationSmall intestinal perforation

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