Gastric heterotopia in rectum: A literature review and its diagnostic pitfall.

SAGE Open Med Case Rep

Department of Pathology, School of Medicine, Saint Louis University, St. Louis, MO, USA.

Published: February 2017

Objectives: The term heterotopia, in pathology, refers to the presence of normal tissues at foreign sites. Gastric heterotopia has been reported anywhere in the gastrointestinal tract. However, the presence of gastric heterotopia in the rectum is very rare.

Methods: We, here, report a rare case of a localized 2-cm area of cratered mucosa with heaped-up borders in the rectum of a 51-year-old, asymptomatic woman who underwent screening colonoscopy.

Results: Histologic examination of the biopsy from the lesional tissue in rectum demonstrated fragments of rectal mucosa co-mingling with oxyntic- and antral-type gastric mucosa. No intestinal metaplasia or is identified.

Conclusion: Patients with gastric heterotopia in rectum usually present with bleeding and/or abdominal pain. Definite treatment of choice is surgical or endoscopic resection, although the lesions also respond to histamine-2 receptor blockers. In this article, most recent literature about gastric heterotopia in rectum is reviewed, following a case presentation about it.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347492PMC
http://dx.doi.org/10.1177/2050313X17693968DOI Listing

Publication Analysis

Top Keywords

gastric heterotopia
20
heterotopia rectum
16
gastric
6
rectum
6
heterotopia
5
rectum literature
4
literature review
4
review diagnostic
4
diagnostic pitfall
4
pitfall objectives
4

Similar Publications

Recurrent small intestinal perforation from gastric mucosal heterotopia: A case report.

World J Gastrointest Surg

December 2024

Department of Gastrointestinal Surgery, Meizhou People's Hospital, Meizhou 514031, Guangdong Province, China.

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.

View Article and Find Full Text PDF

Unveiling the Masquerade: Early Gastric Cancer Mimicking Advanced Disease with Ectopic Pancreas Intrusion.

Ann Ital Chir

December 2024

Department of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy; General and Oncologic Surgery, Department of Surgery, Morgagni-Pierantoni Hospital, 47121 Forlì, Italy.

Gastric cancer is a significant health concern worldwide, and its diagnosis and management are of paramount importance. Ectopic pancreas (EP) refers to an embryological abnormality where healthy pancreatic tissue develops without anatomical, vascular, or neural communication with the normal pancreas. We report the case of a patient whose initial endoscopic evaluation suggested early gastric cancer, but computed tomography scan (CT scan) and endoscopic ultrasound (EUS) indicated a locally advanced tumor.

View Article and Find Full Text PDF

Heterogeneity of pancreatic neoplasms arising in pancreatic heterotopia: a single institution review.

Virchows Arch

November 2024

Department of Pathology and Immunology, Washington University in St. Louis, 660 South Euclid Avenue, Campus, Box 8118, St. Louis, MO, 63110, USA.

Article Synopsis
  • Pancreatic heterotopia (PH) is when pancreatic tissue forms in the gastrointestinal tract and can have various health issues, though cancer development in PH is very uncommon.
  • A study reviewed 163 PH cases from 1990 to 2020, finding that 7 had neoplastic processes, including different types of tumors.
  • Most affected patients were men around 64 years old, with symptoms such as weight loss and abdominal pain, and it’s critical for pathologists to identify PH to ensure correct diagnosis and staging of potential tumors.
View Article and Find Full Text PDF

Heterotopia or ectopic tissue refers to the presence of normal tissue in an abnormal location, away from its typical anatomic site. While heterotopia is not uncommon, its occurrence in the gallbladder is quite rare, and even more unusual is the presence of gastric heterotopia within the gallbladder. This case report describes a 41-year-old female patient with oxyntic-type heterotopic gastric mucosa in the proximal body of the gallbladder.

View Article and Find Full Text PDF

Background: Pyloric gland adenoma (PGA) is a distinct subtype of duodenal adenoma. PGA has been increasingly recognized as a histologically and molecularly distinct entity; however, its endoscopic features have not been precisely described. This study aims to investigate the endoscopic characteristics of duodenal PGA, including the association of their putative precursors, Brunner's gland hyperplasia (BGH), and gastric epithelial heterotopia/metaplasia (GEM/H).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!