A 13-year-old boy was referred to our hospital for investigation of intermittent abdominal colic pain and vomiting. He underwent an emergency laparotomy, which revealed a volvulus and segmental dilatation of the ileum. The dilated intestine was not associated with poor intestinal circulation. Because the dilated ileum did not seem to be the cause of the volvulus, we simply released the volvulus. However, after surgery, the patient still suffered from persistent abdominal pain, further episodes of volvulus, and invagination of the dilated ileum. Thus, we performed a second operation to resect the segmental dilatation of the ileum. Pathological examination revealed that most of the mucosa of the dilated ileum was composed of ectopic gastric mucosa. We postulate that the ectopic gastric mucosa led to the formation of segmental dilatation of the ileum.
Segmental dilatation of the ileum covered almost entirely by gastric mucosa: report of a case. Publishing Authors By Initials
Segmental dilatation of the ileum covered almost entirely by gastric mucosa: report of a case. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Surgery today
VOLUME: 37
Page Numbers: 1102-4
Journal Abbreviation: Surg. Today
ISSN: 0941-1291
DAY: 26
MONTH: 11
YEAR: 2007
Segmental dilatation of the ileum covered almost entirely by gastric mucosa: report of a case. Information
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LANGUAGE: eng
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AFFILIATION: Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Country: Japan
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