Penetrating ectopic peptic ulcer in the absence of Meckel's diverticulum ultimately presenting as small bowel obstruction

We report here how a heterotopic penetrating peptic ulcer progressed to cause small bowel obstruction in a patient with multiple previous negative investigations. The clinical presentation, radiographic features and pathological findings of this case are described, along with the salient lessons lea...

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Published inWorld journal of gastroenterology : WJG Vol. 13; no. 46; pp. 6281 - 6283
Main Authors Hurley, Hilary, Cahill, Ronan A, Ryan, Paul, Morcos, Ashraf I, Redmond, Henry P, Kiely, Helen M
Format Journal Article
LanguageEnglish
Published United States Ronan A Cahill, Henry P Redmond, Department of Surgery, Cork University Hospital, Cork, Ireland%Department of Pathology, Cork University Hospital, Cork, Ireland%Department of Gastroenterology, Mercy University Hospital, Cork, Ireland 14.12.2007
Subjects
Aged
Choristoma - diagnosis
Choristoma - pathology
Diagnosis, Differential
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - pathology
Jejunal Diseases - diagnosis
Male
Meckel Diverticulum
Peptic Ulcer - complications
Peptic Ulcer - diagnosis
Peptic Ulcer - pathology
Non-Meckelean ectopic peptic ulcer
Bowel obstruction
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Summary:We report here how a heterotopic penetrating peptic ulcer progressed to cause small bowel obstruction in a patient with multiple previous negative investigations. The clinical presentation, radiographic features and pathological findings of this case are described, along with the salient lessons learnt. The added value of wireless capsule endoscopy (WCE) in such circumstances is debated.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1007-9327
DOI:10.3748/wjg.13.6281