Heterotopic gastric mucosa in jejunum: A rare case report.

  • Jan Mohammad Rather Dept of Minimal Access Bariatric and GI surgery,Fortis Memorial Research Institute, Gurgaon
  • Sobia Manzoor Skims
  • Rauf Ahmad Wani Department of General & Minimal Invasive Surgery SKIMS
Keywords: Heterotopic gastric mucosa, bleeding, anaemia


Heterotopic gastric mucosa (HGM) has been described as an incidental finding in various parts of gastrointestinal tract. HGM of the small bowel is a congenital disorder with variable manifestations like bleeding, obstruction or perforation, penetration into adjacent organs, and fistulization. We present a case of a 55 year old female being evaluated for anemia associated with recurrent episodes of diarrhoea and dyspepsia. The cause was found to be HGM in the

Author Biographies

Jan Mohammad Rather, Dept of Minimal Access Bariatric and GI surgery,Fortis Memorial Research Institute, Gurgaon

M.S, Senior Registrar


Rauf Ahmad Wani, Department of General & Minimal Invasive Surgery SKIMS

M.S., Additional Professor (Colorectal Surgery)


[1] Cuvelier C. Congenital abnormalities of small intestine. In: Shepherd NA, Warren BF, Williams
GT, Greenson JK, Lauwers GY, Novelli MR, editors. Morson and Dawson Gastrointestinal
Pathology.5th ed. Wiley-Blackwell; 2013. p. 300-1.
[2] Martínez A, Decanini-Terán O, Soria-Céspedes D. Polypoid and hyperplastic heterotopic
gastric mucosa in the jejunum as a cause of recurrent subocclusive episodes. Ann gastroenterol
[3] Khan MJ, Mullerat P, Desai A. A polypoid gastric heterotopia of jejunum diagnosed by capsule
endoscopy. J Coll Physicians Surg Pak 2009;19:661-2. [PUBMED]
[4] Omotosho PA, Varnholt H, Tirabassi MV, Prasad R, Moriarty KP. Giant polypoid gastric
heterotopia of the jejunum presenting with intermittent intussusception. J LaparoendoscAdvSurg
Tech A 2007;17:249-51.
[5] Bhattacharya B, Jakate S, Saclarides TJ, Keshavarzian A. Gastric heterotopia presenting as a
mass in jejunum. Arch Pathol Lab Med 2003;127:506-7.
[6] Daher P, Riachy E, Zeidan S, Saad A. Upper airway obstructive symptoms because of ectopic
gastric mucosa in a newborn: a case report. J PediatrSurg 2006;41:7-9.

[7] Kiratly PO, Aksoy T, Bozkurt MF, Orhan D. Detection of ectopic gastric mucosa using
99mTcpertechnetate: review of the literature. Ann Nucl Med 2009;23:97-105.
[8] Orizio P, Villanacci V, Bassotti G, Falchetti D, Torri F, Ekema G. Heterotopic gastric mucosa in
the cystic duct. Int J SurgPathol 2011;19:364-5.
[9] Lui B, Korman B. Congenital oral heterotopic gastrointestinal cyst: case report and review of
the literature. J Otolaryngol Head Neck Surg 2008;37:151-4.
[10] RifatMannan AA, Kahvic M, Bharadwaj S, Grover VK. Gastric heterotopia of the anus: report
of two rare cases and review of the literature. Indian J PatholMicrobiol 2008;51:240-1.
[11] Boybeyi O, Karnak I, Gucer S, Orhan D. Common characteristic of jejunalheterotopic gastric
tissue in children: a case report with review of the literature. J PediatrSurg 2008;43:19- 22.
[12] Geramizadeh B, Frootan HR, Eghbali S, Rasekhi A. Giant Ileal Duplication Wih Extensive
Gastric Heterotopia. J PediatrSurg 2002;37:114-5.
[13] Ishoo E, Busaba NY. Ectopic gastric mucosa in the cervical esophagus. Am J Otolaryngol
[14] Fukuda Y, Isomoto H, Takeshima F, Yamasaki K, Mizuta Y, Omagari K, et al. Heterotopic
gastric mucosa in intrahepatic bile duct, presenting with hemobilia: a case report.
Hepatogastroenterology 2001;48:1337-9.
[15] Wollschlaeger B. Ectopic gastric mucosa of the common bile duct. J Am Board Fam Pract
[16] Lamont N, Winthrop AL, Cole FM, Langer JC, Issenman RM, Finkel KC. Heterotopic gastric
mucosa in the gallbladder: a cause of chronic abdominal pain in a child. J PediatrSurg 1991;
[17] Elemen L, Oz F, Erdogan E. Heterotopic gastric mucosa leading to recurrent
intussusceptions: report of a case. Surg Today 2009; 39:444-7.
[18] Erez I, Kovalivker M, Lew S, Lazar L, Motovic A. Ectopic gastric mucosa in a polyp causingileo-
ileal intussusception: a case report of a three-month-old baby. Eur J Pediatr Surg. 1991;1:118-20.
[19] Bertin P. Ileo-ileal intussusception over an islet of heterotopic gastric mucosa without
Meckel's diverticulum. ChirPediatr 198;22:7-11.
[20] Jimenez JC, Emil S, Steinmetz B, Romansky S, Weller M. Recurrent gastrointestinal tract
bleeding secondary to jejunal gastric heterotopia. J PediatrSurg 2005; 40:1654-1657.

[21] Porreca A, Capobianco A, Terracciano C, D’Onofrio V. Segmental dilatation of the ileum
presenting with acute intestinal bleeding. J PediatrSurg 2002; 37:1506-8.
[22] AceaNebril B, Bouso Montero M, Blanco Freire N, TaboadaFilgueira L, Freire Rodriguez D,
ArnalMonreal F, et al. Heterotopic gastric mucosa in the ileum with perforated ulcer.
GastroenterolHepatol 1996; 19:514-6.
[23] Kalani BP, Vaezzadeh K, Sieber WK. Gastric heterotopia in rectum complicated by
rectovesical fistula. Dig Dis Sci 1983; 28:378-80.
[24] Wacrenier A, Fayoux P, Augusto D, Laussel AC, Gosselin B, Leroy X. Gastric heterotopia in the
nasopharynx. Int J Pediatr Otorhinolaryngol. 2002;64:65–67. 

[25] Soule EH, Hallenbeck GA. Polypoid gastric heterotopia of the jejunumand ileumcausing
subacute intestinal obstruction. Surg Gynecol Obstet. 1959;108:282–288. 

[26] Skandalakis LJ, Rowe JS, Jr, Gray SW, Skandalakis JE. Surgical embryology anatomy of the
pancreas. Surg Clin North Am. 1993;73:661–697. 

[27] Abel R, Keen CE, Bingham JB, Maynard J, Agrawal MR, Ramachandra S. Heterotopic pancreas
as a lead point in intussusceptions: new variant of vitellointestinal tract malformation. Pediatr
Dev Pathol. 1999;2:367–370.
How to Cite
Rather JM, Manzoor S, Wani RA. Heterotopic gastric mucosa in jejunum: A rare case report. jms [Internet]. 2019Mar.29 [cited 2019Jun.25];22(1):67-0. Available from: http://jmsskims.org/index.php/jms/article/view/381
Case Reports