Li ZW, Jiang TF, Yang CK, Xu ZJ, Zhu WB, Li E. Recurrent small intestinal perforation from gastric mucosal heterotopia: A case report. World J Gastrointest Surg 2024; 16(12): 3857-3861 [DOI: 10.4240/wjgs.v16.i12.3857]
Corresponding Author of This Article
En Li, Department of Gastrointestinal Surgery, Meizhou People’s Hospital, No. 63 Huangtang Road, Meijiang District, Meizhou 514031, Guangdong Province, China. mzrmyylien@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Dec 27, 2024; 16(12): 3857-3861 Published online Dec 27, 2024. doi: 10.4240/wjgs.v16.i12.3857
Recurrent small intestinal perforation from gastric mucosal heterotopia: A case report
Zhi-Wang Li, Tao-Feng Jiang, Cheng-Kun Yang, Zhi-Jie Xu, Wen-Biao Zhu, En Li
Zhi-Wang Li, Cheng-Kun Yang, Zhi-Jie Xu, En Li, Department of Gastrointestinal Surgery, Meizhou People’s Hospital, Meizhou 514031, Guangdong Province, China
Tao-Feng Jiang, Department of Gastroenterology, Meizhou People’s Hospital, Meizhou 514031, Guangdong Province, China
Wen-Biao Zhu, Department of Pathology, Meizhou People’s Hospital, Meizhou 514031, Guangdong Province, China
Author contributions: Li ZW and Jiang TF contributed to study conception and design, as well as data collection and analysis; Li ZW, Yang CK, and Xu ZJ performed the surgical intervention and contributed to the clinical management of the patient; Zhu WB performed the pathological examination and interpretation; Li E supervised the overall study, provided critical revisions to the manuscript, and served as the corresponding author; En Li was responsible for the final approval of the manuscript and is accountable for all aspects of the work. All authors contributed to manuscript drafting and revision and have approved the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient’s legal guardian for the publication of this case report and any accompanying images. All identifying details have been removed or anonymized to protect the patient’s privacy.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: En Li, Department of Gastrointestinal Surgery, Meizhou People’s Hospital, No. 63 Huangtang Road, Meijiang District, Meizhou 514031, Guangdong Province, China. mzrmyylien@163.com
Received: March 24, 2024 Revised: September 23, 2024 Accepted: October 15, 2024 Published online: December 27, 2024 Processing time: 247 Days and 17.9 Hours
Abstract
BACKGROUND
Gastric mucosal heterotopia (GMH) is a rare, typically asymptomatic condition characterized by ectopic gastric mucosa in tissues outside the stomach. However, it can lead to severe complications, including small intestinal perforation. This case report highlights the unique clinical presentation of GMH-induced recurrent small intestinal perforations, which has been rarely documented. These findings emphasize the importance of considering GMH in patients with unexplained recurrent gastrointestinal perforations.
CASE SUMMARY
A 13-year-old female presented with acute abdominal pain. Her medical history included four prior surgeries for small intestinal perforations. Enhanced computed tomography revealed localized bowel thickening and perforation, prompting emergency surgery. A 20 cm segment of the ileum was resected and anastomosed. Pathological analysis confirmed extensive GMH with ulceration and perforation, identifying GMH as the cause of the recurrent perforations. Postoperatively, the patient recovered well with no recurrence by the 10-month follow-up.
CONCLUSION
GMH should be considered in cases of recurrent unexplained intestinal perforations.
Core Tip: This case report illuminates the rare but clinically significant phenomenon of recurrent small intestinal perforation caused by gastric mucosal heterotopia. This case was a challenging diagnostic journey that culminated in successful surgical management, demonstrating the critical need for high clinical suspicion and comprehensive diagnostic approaches in patients with unexplained recurrent intestinal perforations. It underscores the importance of considering gastric mucosal heterotopia as a potential etiology, which, although rare, necessitates tailored diagnostic and therapeutic strategies to prevent severe complications and improve patient outcomes, offering valuable insights into enhancing care for similar rare cases.
