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- W3016560489 abstract "A 24-year-old, previously healthy, male student was referred for endoscopy. He complained of intermittently passing mucus and blood per anum, constipation, and mild abdominal discomfort. Endoscopy showed Paris type 0-Is/0-IIa lesions in the distal rectum (Figures A and B). On biopsy gastric heterotopia was diagnosed. The lesion was removed (Figure C) and the complete pathology work-up confirmed gastric corpus–type heterotopia with foveolar hyperplasia without signs of neoplastic transformation (Figure D; normal colonic mucosa on the left side). On follow-up after the resection the patient reported persistent abdominal discomfort and constipation but the passing of blood and mucus subsided. Gastric heterotopia is relatively common in the upper gastrointestinal tract. Its presence in the lower gastrointestinal tract is rare. It is regarded as a reaction to inflammation or injury with gastric tissue differentiating from local pluripotent cells. Lesions are often asymptomatic but hematochezia and noncharacteristic abdominal pain have been described, possibly caused by acid production from parietal cells. Gastric heterotopia can be infected with Helicobacter pylori infection and neoplastic progression has been described. Therefore resection of the lesions is recommended." @default.
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- W3016560489 date "2021-06-01" @default.
- W3016560489 modified "2023-09-23" @default.
- W3016560489 title "An Unusual Encounter in the Rectum" @default.
- W3016560489 doi "https://doi.org/10.1016/j.cgh.2020.03.070" @default.
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