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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Jejunal Gastric Heterotopia causing Multiple Strictures and Perforation Peritonitis- A Case Report with Review of Literature ED11-ED12
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Jejunal Gastric Heterotopia causing Multiple Strictures and Perforation Peritonitis- A Case Report with Review of Literature ED11-ED12

机译:空肠胃异位症引起多发性狭窄和穿孔性腹膜炎-附文献ED11-ED12的病例报告

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摘要

Gastric heterotopias beyond the ligament of Treitz though rare, should be thought of in the differential diagnosis of polypoid lesions presenting with gastrointestinal bleed or obstructive symptoms especially in children and in the young. Here is a 24-year-old male with multifocal jejunal gastric heterotopias causing multiple strictures and perforation peritonitis. Patient presented with acute abdomen pain and an emergency laparotomy was performed revealing jejunum with multiple strictures and perforation, followed by jejunal resection. On gross examination polypoid mucosa was noted at the stricture sites which showed heterotopic gastric mucosa on microscopy. Jejunal gastric heterotopias are extremely rare with less than ten reported cases and those presenting with multiple strictures are even rarer. To our knowledge this is the second case of jejunal gastric heterotopia presenting with multiple strictures.
机译:特雷茨韧带以外的胃异位症虽然很少见,但在有胃肠道出血或阻塞性症状的息肉样病变的鉴别诊断中应考虑到这一点,特别是在儿童和年轻人中。这是一名24岁男性,患有多灶性空肠胃异位症,引起多处狭窄和穿孔性腹膜炎。患者出现急性腹部疼痛并进行了紧急剖腹手术,发现空肠多处狭窄和穿孔,随后进行了空肠切除术。在粗略检查中,在狭窄部位注意到息肉样粘膜,在显微镜下显示出异位胃粘膜。空肠胃异位症极少见,报告的病例不到十例,表现出多处狭窄的病例更为罕见。据我们所知,这是第二例空肠胃异位症,表现为多处狭窄。

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