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

Hilary Hurley; Ronan A Cahill; Paul Ryan; Ashraf I Morcos; Henry P Redmond; Helen M Kiely

doi:10.3748/wjg.v13.i46.6281

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

World J Gastroenterol. 2007 Dec 14;13(46):6281-3. doi: 10.3748/wjg.v13.i46.6281.

Authors

Hilary Hurley¹, Ronan A Cahill, Paul Ryan, Ashraf I Morcos, Henry P Redmond, Helen M Kiely

Affiliation

¹ Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland.

Abstract

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.

Publication types

Case Reports

MeSH terms

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