title: Heterotopic gastric mucosa in the upper esophagus ("inlet patch"): a rare cause of esophageal perforation.
abstract: We report the case of a 21-yr-old woman who presented with a perforation of an upper esophageal ulcer on a patch of gastric-type mucosa. Despite surgical closure of the perforation and reinforcement with a pleuro-muscular flap the patient developed an esophageal leakage and died in the postoperative period. Heterotopic gastric mucosa in the upper esophagus is usually an asymptomatic abnormality, discovered incidentally during endoscopic studies carried out for some other reason; however, complications secondary to the inlet patch acid secreting capacity can arise, and this has to be kept in mind to elude life-threatening conditions.
authors.affiliation: II Department of Surgery, Hospital Universitario San Carlos, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Sánchez-Pernaute
authors.forename: F
authors.initials: F
authors.lastname: Hernando
authors.forename: L
authors.initials: L
authors.lastname: Díez-Valladares
authors.forename: O
authors.initials: O
authors.lastname: González
authors.forename: E
authors.initials: E
authors.lastname: Pérez Aguirre
authors.forename: V
authors.initials: V
authors.lastname: Furió
authors.forename: M
authors.initials: M
authors.lastname: Remezal
authors.forename: A
authors.initials: A
authors.lastname: Torres
authors.forename: J L
authors.initials: JL
authors.lastname: Balibrea
mesh_terms: D000328:Adult; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D004935:Esophageal Diseases / Q000175:diagnosis* / Q000473:pathology; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005753:Gastric Mucosa; D006801:Humans; D014456:Ulcer / Q000209:etiology