Recurrent gastrointestinal tract bleeding secondary to jejunal gastric heterotopia.
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.
Jimenez
Juan Carlos
JC
Division of Pediatric Surgery, University of California, Irvine, Orange, CA 92868, USA.
Emil
Sherif
S
Steinmetz
Barry
B
Romansky
Steven
S
Weller
Michael
M
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