Penetrating ectopic peptic ulcer in the absence of Meckel's diverticulum ultimately presenting as small bowel obstruction.
We report here how a heterotopic penetrating peptic ulcer progressed to cause small bowel obstruction in a patient with multiple previous negative investigations. The clinical presentation, radiographic features and pathological findings of this case are described, along with the salient lessons learnt. The added value of wireless capsule endoscopy (WCE) in such circumstances is debated.
Hurley
Hilary
H
Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland.
Cahill
Ronan A
RA
Ryan
Paul
P
Morcos
Ashraf I
AI
Redmond
Henry P
HP
Kiely
Helen M
HM
D000368:Aged; D002828:Choristoma / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D007579:Jejunal Diseases / Q000175:diagnosis*; D008297:Male; D008467:Meckel Diverticulum; D010437:Peptic Ulcer / Q000150:complications / Q000175:diagnosis* / Q000473:pathology