Case Report

Jejunal Polyps out of Place: A Case of Gastric Heterotopia of the Jejunum

Table 1

Summary of previously reported cases of gastric heterotopia of the jejunum.

AuthorAgeSexPresenting features and diagnosisDurationGross appearanceSizeTreatment

Ahn, et al. [10]5FVomiting, abdominal pain; diagnosed with intussusception of proximal jejunal loops2 weeksPolypoid lesions with erosions on the proximal jejunumVariable-sized with largest nearly obstructing jejunal lumenEndoscopic resection
Ali, et al. [7]23MMelena, nausea, and vomitingUnknownJejunal diverticulum with white mucosal plaques 50 cm from pylorusUnknownMidline laparotomy and endoscopic wedge resection
Al-Jaadan, et al. [6]1FEpisodic abdominal distension, vomiting, diarrhea, and failure to thrive3 yearsDilated segment of proximal jejunum followed by 8 cm narrowed segment with thickened walls38 cm dilated segment of proximal jejunumLaparotomy with en-bloc small bowel resection
Bhattacharya, et al. [1]52FIntermittent cramping, abdominal pain, and vomitingUnknownMucosal, broad-based, polypoid mass4 × 2.7 × 0.4 cmExploratory laparotomy with partial resection of jejunum
Chinnery, et al. [3]17FPostprandial vomiting and weight loss3 monthsJejunal stricture 15 cm distal to ligament of Treitz2 cm in lengthSurgical excision
Isbister, et al. [18]16FAbdominal pain and vomiting1 weekPerforation and ulcer involving the jejunum, 25 cm from duodenojejunal flexure2.5 cm in diameterLaparotomy with surgical resection
Jimenez, et al. [8]4MAbdominal pain and melena3 daysLarge polypoid mass occupying 50% of the lumen9 × 4 cmLaparotomy with en-bloc small bowel resection
Khan, et al. [11]36FAbdominal pain and vomitingUnknownPolypoid lesion2 cmLaparoscopic resection
Kimpton, et al. [12]7FEpisodic abdominal pain, nausea, and vomiting, and intussusception4 yearsTumor mass filling the entire lumen of the jejunum3 cm in diameterSurgical resection
Lee, et al. [13]25MPostprandial abdominal pain and vomiting3 weeksElongated, serpiginous mucosal tumors8 × 3 cm and 6 × 3 cmSurgical resection
Leng, et al. [9]9FGastrointestinal bleeding with melena and mild anemia15 monthsPolypoid mass4 cmLaparoscopic resection
Mandrekar, et al. [14]22FIntestinal obstructionUnknownPolypoidal mass8 × 6 × 2 cmEmergency laparotomy and resection
Martinez, et al. [15]21FIntermittent abdominal pain, nausea, and vomiting1 yearLarge intraluminal tumor of the jejunum15 cmAbdominal laparotomy with resection
Nasir, et al. [5]31MPostprandial abdominal pain and hematochezia10 yearsPolypoid mass at duodenojejunal junction6 × 2.5 cmEndoscopic resection
Nwanze, et al. [16]24FAbdominal pain, nausea and vomiting, and intussusception12 hoursProtruding polypoid mass of the jejunum3.4 × 2.7 × 2.4 cmEmergent surgical resection
Omotosho, et al. [17]17FRefluxlike symptoms, abdominal pain, vomiting, and intussusception6 monthsBilobed intraluminal jejunal polypUnknownSurgical resection
Vani, et al. [2]24MAbdominal pain and peritonitisUnknownJejunal strictures and perforation40 cm of jejunum with multiple strictures and serosal exudateEmergent exploratory laparotomy and resection