Park JG, Suh JI, Kim YU. Gastric heterotopia of colon found cancer workup in liver abscess: A case report. World J Clin Cases 2022; 10(15): 5012-5017 [PMID: 35801043 DOI: 10.12998/wjcc.v10.i15.5012]
Corresponding Author of This Article
Jeong Ill Suh, MD, Professor, Department of Internal Medicine, College of Medicine, Dongguk University, 87 Dong Dae Ro, Gyeongju 38067, South Korea. sujungil@dongguk.ac.kr
Research Domain of This Article
Anatomy & Morphology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 26, 2022; 10(15): 5012-5017 Published online May 26, 2022. doi: 10.12998/wjcc.v10.i15.5012
Gastric heterotopia of colon found cancer workup in liver abscess: A case report
Jun Gi Park, Jeong Ill Suh, Yeo Un Kim
Jun Gi Park, Jeong Ill Suh, Yeo Un Kim, Department of Internal Medicine, College of Medicine, Dongguk University, Gyeongju 38067, South Korea
Author contributions: Park JG, Suh JI and Kim YU contributed equally to this work; Park JG, Suh JI designed the research study; Park JG and Kim YU performed the data acquisition; Park JG and Kim YU analyzed the data; Park JG wrote the manuscript; Park JG and Suh JI contributed for critical revision of the manuscript for important intellectual content; all authors approved the final version of the article.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE checklist, and the manuscript was prepared and revised according to the CARE checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jeong Ill Suh, MD, Professor, Department of Internal Medicine, College of Medicine, Dongguk University, 87 Dong Dae Ro, Gyeongju 38067, South Korea. sujungil@dongguk.ac.kr
Received: November 19, 2021 Peer-review started: November 19, 2021 First decision: January 11, 2022 Revised: January 18, 2022 Accepted: March 26, 2022 Article in press: March 26, 2022 Published online: May 26, 2022
Abstract
BACKGROUND
Recently reported cases of pyogenic liver abscess associated with colonic cancer in the absence of underlying disease, have included a small number of cases of gastric heterotopia (GHT). GHT is a congenital anomaly composed of ectopic gastric mucosa and can occur anywhere in the gastrointestinal tract but is more frequently encountered in the cervical esophagus. However, it is rarely observed in colon. Furthermore, most reported cases of GHT of the colon involved the rectum, and GHT involving the colon proximal to the rectum is rare.
CASE SUMMARY
An 83-year-old male patient presented with fever and a diagnosis of pyogenic liver abscess. Colonoscopy was performed for colon cancer workup and revealed a 1.0 cm sized polyp at the transverse colon. The polyp was removed by endoscopic mucosal resection by monopolar electrocauterization using a snare. Pathological examination revealed GHT. After administering intravenous antibiotics, the patient recovered well.
CONCLUSION
GHT in the colon could affect the development of pyogenic liver abscess by enabling hematogenous propagation of Klebsiella pneumoniae through mucosal damage. However, more study is needed due to the lack of cases.
Core Tip: Gastric heterotopia in the colon could affect the development of pyogenic liver abscess by enabling hematogenous propagation of Klebsiella pneumoniae through mucosal damage. However, more study is needed due to the lack of cases. Colonoscopy should be performed to the patients with a pyogenic liver abscess.
