Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2014; 2(6): 209-210
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.209
Perforated jejunal ulcer associated with gastric mucosa in a jejunal diverticulum
John Bunni, Helen L Barrett, Tim A Cook
John Bunni, Tim A Cook, Department of Surgery, Gloucestershire Royal Hospital, Gloucester GL1 3NN, United Kingdom
Helen L Barrett, Department of Pathology, Gloucestershire Royal Hospital, Gloucester GL1 3NN, United Kingdom
Author contributions: Bunni J and Cook TA operated on the patient; Barrett HL assessed the pathology; Bunni J conceived and wrote the manuscript; all authors approved it.
Correspondence to: John Bunni, MB, ChB (Hons), MRCS, Registrar in General Surgery, Department of Surgery, Gloucestershire Royal Hospital, Great Western Rd, Gloucester GL1 3NN, United Kingdom. johnbunni@hotmail.com
Telephone: +44-84-54222222 Fax: +44-84-54225612
Received: December 14, 2013
Revised: January 27, 2014
Accepted: May 8, 2014
Published online: June 16, 2014
Processing time: 187 Days and 23.9 Hours
Abstract

Jejunal diverticula are rare and subsequent complications even more so. The usual small bowel diverticulum encountered by general surgeons is a Meckel’s. These are embryological remnants of the vitello-intestinal duct and are on the anti-mesenteric surface of the terminal ileum. They may contain heterotopic gastric or pancreatic mucosa. Herein we explore the case of a young girl who presented with features of peritonitis secondary to a complication from a jejunal diverticulum. The case, pathology, complications and treatment of jejunal diverticulosis and heterotopic gastric mucosa in the jejunum are explored.

Keywords: Jejunum; Perforation; Heterotopic gastric mucosa; Meckel’s gastrointestinal diverticulum

Core tip: Herein we describe a rare but important cause of peritonitis in children. We feel it will be of interest to surgeons and pathologists alike and is an important reminder of the basic anatomy and pathology of surgical disease.