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Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child

Heterotopic gastric mucosa (HGM) in the colon and small bowel is a very rare finding. We report a case of HGM in the rectum of an 8-year-old child with a history of eosinophilic esophagitis after having a colonoscopy to evaluate for inflammatory bowel disease. The colonoscopy was normal except for r...

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Autores principales: Patricia-Rae Meyer, Blake, Nguyen, Johnny, Wilsey, Michael, Karjoo, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158372/
https://www.ncbi.nlm.nih.gov/pubmed/37168921
http://dx.doi.org/10.1097/PG9.0000000000000184
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author Patricia-Rae Meyer, Blake
Nguyen, Johnny
Wilsey, Michael
Karjoo, Sara
author_facet Patricia-Rae Meyer, Blake
Nguyen, Johnny
Wilsey, Michael
Karjoo, Sara
author_sort Patricia-Rae Meyer, Blake
collection PubMed
description Heterotopic gastric mucosa (HGM) in the colon and small bowel is a very rare finding. We report a case of HGM in the rectum of an 8-year-old child with a history of eosinophilic esophagitis after having a colonoscopy to evaluate for inflammatory bowel disease. The colonoscopy was normal except for rectal tissue erythema and edema. Inflammatory bowel disease has been reported in some cases of children with eosinophilic changes of the esophagus. The child had intermittent rectal bleeding thought to be due to constipation. Interestingly, when the patient was placed on a proton pump inhibitor for the treatment of eosinophilic esophagitis, the rectal bleeding decreased. After our patient ceased proton pump inhibitor therapy, he experienced a large amount of rectal bleeding. Histological findings revealed HGM in the colon/rectum. An extensive review of the incidence, diagnosis, and treatment is discussed.
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spelling pubmed-101583722023-05-09 Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child Patricia-Rae Meyer, Blake Nguyen, Johnny Wilsey, Michael Karjoo, Sara JPGN Rep Case Report Heterotopic gastric mucosa (HGM) in the colon and small bowel is a very rare finding. We report a case of HGM in the rectum of an 8-year-old child with a history of eosinophilic esophagitis after having a colonoscopy to evaluate for inflammatory bowel disease. The colonoscopy was normal except for rectal tissue erythema and edema. Inflammatory bowel disease has been reported in some cases of children with eosinophilic changes of the esophagus. The child had intermittent rectal bleeding thought to be due to constipation. Interestingly, when the patient was placed on a proton pump inhibitor for the treatment of eosinophilic esophagitis, the rectal bleeding decreased. After our patient ceased proton pump inhibitor therapy, he experienced a large amount of rectal bleeding. Histological findings revealed HGM in the colon/rectum. An extensive review of the incidence, diagnosis, and treatment is discussed. Lippincott Williams & Wilkins, Inc. 2022-02-25 /pmc/articles/PMC10158372/ /pubmed/37168921 http://dx.doi.org/10.1097/PG9.0000000000000184 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Patricia-Rae Meyer, Blake
Nguyen, Johnny
Wilsey, Michael
Karjoo, Sara
Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child
title Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child
title_full Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child
title_fullStr Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child
title_full_unstemmed Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child
title_short Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child
title_sort heterotopic gastric mucosa causing rectal bleeding in a young child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158372/
https://www.ncbi.nlm.nih.gov/pubmed/37168921
http://dx.doi.org/10.1097/PG9.0000000000000184
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