The many faces of intestinal tract gastric heterotopia; a series of four cases highlighting clinical and pathological heterogeneity.

Abstract:

:Gastric heterotopia of the intestinal tract can have a diverse clinicopathologic presentation, resulting in a diagnostic dilemma. We present a series of four cases, two male and two female patients with age range of 31-82 years, found in the duodenum, jejunum, and transverse colon. The most common and rather unusual clinical presentation was iron deficiency anemia, seen in three cases, while one patient presented with abdominal pain. Endoscopically, two cases were visualized as pedunculated polyps and two as sessile/plaque-like lesions. Polypectomy was performed in three patients, and one patient underwent biopsy followed by resection. Two cases showed oxyntic-type epithelium, and two cases exhibited pyloric-type gastric epithelium. Three patients were relieved of their presenting symptoms after therapeutic procedures with no evidence of recurrence noted on follow-up. Follow-up was not available on one patient. This case series highlights a diverse clinicopathologic spectrum of gastric heterotopia. Accurate diagnosis is essential for proper management.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Nasir A,Amateau SK,Khan S,Simpson RW,Snover DC,Amin K

doi

10.1016/j.humpath.2018.01.003

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

183-187

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(18)30004-2

journal_volume

74

pub_type

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