Segmental dilatation of the ileum covered almost entirely by gastric mucosa: report of a case.
A 13-year-old boy was referred to our hospital for investigation of intermittent abdominal colic pain and vomiting. He underwent an emergency laparotomy, which revealed a volvulus and segmental dilatation of the ileum. The dilated intestine was not associated with poor intestinal circulation. Because the dilated ileum did not seem to be the cause of the volvulus, we simply released the volvulus. However, after surgery, the patient still suffered from persistent abdominal pain, further episodes of volvulus, and invagination of the dilated ileum. Thus, we performed a second operation to resect the segmental dilatation of the ileum. Pathological examination revealed that most of the mucosa of the dilated ileum was composed of ectopic gastric mucosa. We postulate that the ectopic gastric mucosa led to the formation of segmental dilatation of the ileum.
Kobayashi
Tsutomu
T
Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, Japan.
Uchida
Nobuyuki
N
Shiojima
Masayuki
M
Sasamoto
Hajime
H
Shimura
Tatsuo
T
Takahasi
Atsusi
A
Kuwano
Hiroyuki
H
D000293:Adolescent; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005753:Gastric Mucosa; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007082:Ileum / Q000473:pathology*; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D008297:Male; D014057:Tomography, X-Ray Computed