Abstract
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.
Similar content being viewed by others
References
O Swenson F Rathauser (1959) ArticleTitleSegmental dilatation of the colon: a new entity Am J Surg 97 734–8 Occurrence Handle13650074 Occurrence Handle10.1016/0002-9610(59)90338-1 Occurrence Handle1:STN:280:CyaD2sbmvV0%3D
J Rovira L Morales FJ Prari V Julia I Claret (1989) ArticleTitleSegmental dilatation of the duodenum J Pediatr Surg 24 1155–7 Occurrence Handle2809992 Occurrence Handle10.1016/S0022-3468(89)80103-4 Occurrence Handle1:STN:280:By%2BD3sbpvVQ%3D
M Erol Y Serafettin K Irfan G Cuneyt C Haluk (1996) ArticleTitleSegmental dilatation of the jejunum Acta Paediatr Jpn 38 69–71
A Porreca A Capobianco C Terracciano V Onofrio (2002) ArticleTitleSegmental dilatation of the ileum presenting with acute intestinal bleeding J Pediatr Surg 37 1506–8 Occurrence Handle12378470 Occurrence Handle10.1053/jpsu.2002.35434 Occurrence Handle1:STN:280:DC%2BD38nitVyrsg%3D%3D
M Kusaba T Nakajou H Akiyama H Hasibe M Saeki K Ishida et al. (1983) ArticleTitleSegmental dilatation of intestine J Pediatr Surg 19 1115–22
H Takehara N Komi M Hino (1989) ArticleTitleCongenital segmental dilatation of the colon: report of a case and review of the literature Pediatr Surg Int 4 66–8 Occurrence Handle10.1007/BF00181854
A Takahashi T Tomosaka N Suzuki M Kuroiwa H Ikeda A Morikawa et al. (1997) ArticleTitleThe relationship between disturbed transit and dilated bowel, and monometric findings of dilated bowel in patients with duodenal atresia and stenosis J Pediatr Surg 38 1157–60 Occurrence Handle10.1016/S0022-3468(97)90674-6
A Takahashi T Tomosaka N Suzuki M Kuroiwa H Ikeda (1995) ArticleTitleGastrointestinal manometry findings in a case with dilated small bowel and disturbed transit treated successfully with bowel plication Neurogastroenterol Mot 7 97–100 Occurrence Handle1:STN:280:ByqA2cnnvVQ%3D
SK Ratan R Kulsreshtha J Ratan (2001) ArticleTitleCystic duplication of the cecum with segmental dilatation of the ileum Surg Today 31 72–5 Occurrence Handle11213049 Occurrence Handle10.1007/s005950170225 Occurrence Handle1:STN:280:DC%2BD3M7nvFKhtA%3D%3D
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kobayashi, T., Uchida, N., Shiojima, M. et al. Segmental Dilatation of the Ileum Covered Almost Entirely by Gastric Mucosa: Report of a Case. Surg Today 37, 1102–1104 (2007). https://doi.org/10.1007/s00595-007-3526-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-007-3526-4