Heterotopic Gastric Mucosa of the Rectum UCTN
Heterotopic Gastric Mucosa of the Rectum UCTN Heterotopic gastric mucosa (HGM), which P. De Angelis1, A. Trecca2, P. Francalanci3, results from embryonic tissue displace- F. Torroni1, G. Federici di Abriola1, ment, can be found throughout the length B. Papadatou4, G. C. Ciofetta5, of the gastrointestinal tract. Heterotopic L. DallOglio1 gastric mucosa in the rectum is uncom- 1 Surgical and Endoscopic Digestive Unit, mon, and few cases have been described Ospedale Pediatrico Bambino Ges, Unusual Cases and Technical Notes in children [1±3]. Rome, Italy 2 Endoscopic and Gastroenterologic We report a case of a child of 4.5 years Operative Unit ªFabio di Giovanbattistaº, with recurrent rectal bleeding, tenesmus, UEGO FDG, Rome, Italy diarrhea, and abdominal pain. He under- 3 Department of Pathology, Ospedale went colonoscopy, which showed an ulcer Pediatrico Bambino Ges, Rome, Italy of diameter 1 cm covered by a whitish 4 Department of Gastroenterology, membrane, 15 cm from the anal verge. Ospedale Pediatrico Bambino Ges, Histological findings confirmed a solitary Rome, Italy rectal ulcer. The child apparently respon- Figure 1 Sessile polypoid lesions, seen with 5 Nuclear Medicine Unit, Ospedale ded well to medical therapy with mesal- the endoscope in retroversion. Pediatrico Bambino Ges, Rome, Italy. amine enema, but the abdominal pain and diarrhea with bleeding recurred. Co- References lonoscopy showed two sessile polypoid lesions, 1.5 cm in diameter, on the poster- 1 Wiersma R, Hadley GP, Govender D, ior rectal wall, within 5 cm from the anal Grant HW. Rectal gastric heterotopia in verge (Figure 1). Histological examination infancy. J Pediatr Surg 2002; 37: 1481± of biopsies revealed colonic mucosa asso- 1482 ciated with gastric corpus-fundic mucosa 2 Taylor AL.
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