title: Recurrent gastrointestinal tract bleeding secondary to jejunal gastric heterotopia.
abstract: A 4-year-old Latino boy with a history of malrotation, nonobstructing annular pancreas, and a Ladd procedure during infancy presented with recurrent severe gastrointestinal tract bleeding. Investigations revealed a large mass in the proximal small bowel. At laparotomy, the proximal jejunal segment containing the mass was resected. Pathological examinations revealed a large intraluminal polyp composed of ectopic gastric mucosa. The patient presented 10 months later with recurrent bleeding, and subsequent laparotomy demonstrated a newly acquired segment of jejunal polyposis not present at the first operation. The case is presented, along with a plan of patient surveillance and a review of the pertinent literature.
authors.affiliation: Division of Pediatric Surgery, University of California, Irvine, Orange, CA 92868, USA.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Jimenez
authors.forename: Sherif
authors.initials: S
authors.lastname: Emil
authors.forename: Barry
authors.initials: B
authors.lastname: Steinmetz
authors.forename: Steven
authors.initials: S
authors.lastname: Romansky
authors.forename: Michael
authors.initials: M
authors.lastname: Weller
mesh_terms: D002675:Child, Preschool; D002828:Choristoma / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications*; D008297:Male; D012008:Recurrence; D013270:Stomach