Perforation of the jejunum secondary to a duplication cyst lined with ectopic gastric mucosa. 1988

S G Royle, and C M Doig
Department of Paediatric Surgery, Booth Hall Children's Hospital, Manchester, England.

We present a case of jejunal duplication with a localized perforation of the adjacent normal intestine into the substance of the liver in a 3-month-old baby. This was successfully treated by resection of the duplication and a short segment of the normal jejunum. The diagnosis was made preoperatively by pertechnetate technetium 99m isotope scanning and a barium meal examination, and we discuss the use of these investigations in children presenting with melena.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007416 Intestinal Perforation Opening or penetration through the wall of the INTESTINES. Intestinal Perforations,Perforation, Intestinal,Perforations, Intestinal
D007579 Jejunal Diseases Pathological development in the JEJUNUM region of the SMALL INTESTINE. Disease, Jejunal,Diseases, Jejunal,Jejunal Disease
D007580 Jejunal Neoplasms Tumors or cancer in the JEJUNUM region of the small intestine (INTESTINE, SMALL). Cancer of Jejunum,Cancer of the Jejunum,Cancer, Jejunal,Jejunal Cancer,Cancers, Jejunal,Jejunal Cancers,Jejunal Neoplasm,Jejunum Cancer,Jejunum Cancers,Neoplasm, Jejunal,Neoplasms, Jejunal
D007583 Jejunum The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum. Jejunums
D008297 Male Males
D002828 Choristoma A mass of histologically normal tissue present in an abnormal location. Aberrant Tissue,Ectopic Tissue,Heterotopic Tissue,Aberrant Tissues,Choristomas,Ectopic Tissues,Heterotopic Tissues,Tissue, Aberrant,Tissue, Ectopic,Tissue, Heterotopic,Tissues, Aberrant,Tissues, Ectopic,Tissues, Heterotopic
D003560 Cysts Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues. Cyst
D005753 Gastric Mucosa Lining of the STOMACH, consisting of an inner EPITHELIUM, a middle LAMINA PROPRIA, and an outer MUSCULARIS MUCOSAE. The surface cells produce MUCUS that protects the stomach from attack by digestive acid and enzymes. When the epithelium invaginates into the LAMINA PROPRIA at various region of the stomach (CARDIA; GASTRIC FUNDUS; and PYLORUS), different tubular gastric glands are formed. These glands consist of cells that secrete mucus, enzymes, HYDROCHLORIC ACID, or hormones. Cardiac Glands,Gastric Glands,Pyloric Glands,Cardiac Gland,Gastric Gland,Gastric Mucosas,Gland, Cardiac,Gland, Gastric,Gland, Pyloric,Glands, Cardiac,Glands, Gastric,Glands, Pyloric,Mucosa, Gastric,Mucosas, Gastric,Pyloric Gland

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