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©2007 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 14, 2007; 13(46): 6281-6283
Published online Dec 14, 2007. doi: 10.3748/wjg.v13.i46.6281
Published online Dec 14, 2007. doi: 10.3748/wjg.v13.i46.6281
Penetrating ectopic peptic ulcer in the absence of Meckel’s diverticulum ultimately presenting as small bowel obstruction
Hilary Hurley, Ronan A Cahill, Henry P Redmond, Department of Surgery, Cork University Hospital, Cork, Ireland
Paul Ryan, Helen M Kiely, Department of Pathology, Cork University Hospital, Cork, Ireland
Ashraf I Morcos, Department of Gastroenterology, Mercy University Hospital, Cork, Ireland
Author contributions: All authors contributed equally to the work.
Correspondence to: HP Redmond, Professor, Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland. rcahill@rcsi.ie
Telephone: +353-21-4922371
Received: July 16, 2007
Revised: September 6, 2007
Accepted: October 15, 2007
Published online: December 14, 2007
Revised: September 6, 2007
Accepted: October 15, 2007
Published online: December 14, 2007
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.