Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study

Gastric heterotopia rarely occurs in the ileum without a Meckel’s diverticulum. We report a case of a 53-year-old man who presented with recurrent abdominal pain. The initial computed tomography (CT) scan showed circumferential wall thickening and stricture of the ileum. At the follow-up examinat...

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Main Authors: Je Young Cho, Ji Young Woo, Hye-Suk Hong, Ik Yang, Jin Hee Moon, Ji-Young Hwang, Han Myun Kim, Hee Young Kim, Hye Jeong Kim, Jung Won Kim
Format: Article
Language:English
Published: The Korean Society of Radiology 2017-12-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2017.77.6.412
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author Je Young Cho
Ji Young Woo
Hye-Suk Hong
Ik Yang
Jin Hee Moon
Ji-Young Hwang
Han Myun Kim
Hee Young Kim
Hye Jeong Kim
Jung Won Kim
author_facet Je Young Cho
Ji Young Woo
Hye-Suk Hong
Ik Yang
Jin Hee Moon
Ji-Young Hwang
Han Myun Kim
Hee Young Kim
Hye Jeong Kim
Jung Won Kim
author_sort Je Young Cho
collection DOAJ
description Gastric heterotopia rarely occurs in the ileum without a Meckel’s diverticulum. We report a case of a 53-year-old man who presented with recurrent abdominal pain. The initial computed tomography (CT) scan showed circumferential wall thickening and stricture of the ileum. At the follow-up examination (8 months), previously observed circumferential wall thickening and stricture were more aggravated, causing small bowel obstruction. The patient underwent small bowel resection and the histopathology was consistent with ectopic gastric mucosa. We suggest that the rare CT findings were indicative of ileal gastric heterotopia which have never been reported. Based on these CT findings, our differential diagnosis excluded inflammatory bowel disease.
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spelling doaj.art-21aacee923c04bc08fb419b1dc8361092022-12-21T18:40:20ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282017-12-01776412415https://doi.org/10.3348/jksr.2017.77.6.412Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case StudyJe Young Cho0Ji Young Woo1Hye-Suk Hong2Ik Yang3Jin Hee Moon4Ji-Young Hwang5 Han Myun Kim6Hee Young Kim7Hye Jeong Kim8Jung Won Kim9Department of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaDepartment of Pathology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, KoreaGastric heterotopia rarely occurs in the ileum without a Meckel’s diverticulum. We report a case of a 53-year-old man who presented with recurrent abdominal pain. The initial computed tomography (CT) scan showed circumferential wall thickening and stricture of the ileum. At the follow-up examination (8 months), previously observed circumferential wall thickening and stricture were more aggravated, causing small bowel obstruction. The patient underwent small bowel resection and the histopathology was consistent with ectopic gastric mucosa. We suggest that the rare CT findings were indicative of ileal gastric heterotopia which have never been reported. Based on these CT findings, our differential diagnosis excluded inflammatory bowel disease.https://doi.org/10.3348/jksr.2017.77.6.412gastric mucosamultidetector computed tomographyileumintestinal obstructioninflammatory bowel disease
spellingShingle Je Young Cho
Ji Young Woo
Hye-Suk Hong
Ik Yang
Jin Hee Moon
Ji-Young Hwang
Han Myun Kim
Hee Young Kim
Hye Jeong Kim
Jung Won Kim
Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study
대한영상의학회지
gastric mucosa
multidetector computed tomography
ileum
intestinal obstruction
inflammatory bowel disease
title Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study
title_full Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study
title_fullStr Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study
title_full_unstemmed Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study
title_short Ileal Heterotopic Gastric Mucosa with Small Bowel Obstruction Mimicking Inflammatory Bowel Disease: A Case Study
title_sort ileal heterotopic gastric mucosa with small bowel obstruction mimicking inflammatory bowel disease a case study
topic gastric mucosa
multidetector computed tomography
ileum
intestinal obstruction
inflammatory bowel disease
url https://doi.org/10.3348/jksr.2017.77.6.412
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