Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : ED11 - ED12

Jejunal Gastric Heterotopia causing Multiple Strictures and Perforation Peritonitis- A Case Report with Review of Literature.

M Vani, Ajit Nambiar, K Geetha, Byju Kundil

1. Associate Professor, Department of Pathology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. 2. Associate Professor, Department of Pathology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. 3. Professor and Head, Department of Pathology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. 4. Associate Professor, Department of Gastrosurgery, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India.

Correspondence Address :
Dr. M Vani,
Associate Professor Department of Pathology, Academy of Medical Sciences, Pariyaram, Kannur-670503, Kerala, India.
E-mail: vanim250180@gmail.com

Abstract

Gastric heterotopias beyond the ligament of Treitz though rare, should be thought of in the differential diagnosis of polypoid lesions presenting with gastrointestinal bleed or obstructive symptoms especially in children and in the young. Here is a 24-year-old male with multifocal jejunal gastric heterotopias causing multiple strictures and perforation peritonitis. Patient presented with acute abdomen and an emergency laparotomy showed jejunum with multiple strictures and perforation and a jejunal resection was done. On gross examination polypoid mucosa was noted at the stricture sites which showed heterotopic gastric mucosa on microscopy. Jejunal gastric heterotopias are extremely rare with less than ten reported cases and those presenting with multiple strictures are even rarer. To our knowledge this is the second case of jejunal gastric heterotopia presenting with multiple strictures.

Keywords

Jejunum, Obstruction, Polypoid

How to cite this article :

M Vani, Ajit Nambiar, K Geetha, Byju Kundil. JEJUNAL GASTRIC HETEROTOPIA CAUSING MULTIPLE STRICTURES AND PERFORATION PERITONITIS- A CASE REPORT WITH REVIEW OF LITERATURE.. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Mar 29 ]; 11:ED11-ED12. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=March&volume=11&issue=3&page=ED11-ED12&id=9590

DOI and Others

DOI: 10.7860/JCDR/2017/25585.9590


Date of Submission: Nov 23, 2016
Date of Peer Review: Dec 09, 2016
Date of Acceptance: Dec 20, 2016
Date of Publishing: Mar 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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