Giant Gastric Heterotopia in the Duodenum of an Adolescent Male and Review of the Literature

Laura El‐Hage

doi:10.23937/2469-584x/1510016

Abstract

Duodenal polyps are typically found during routine screening esophagogastroduodenoscopy for patients who have known hereditary polyposis syndromes. When polyps enlarge they may cause obstruction of the gastrointestinal tract, which is rare.

Highlights

Duodenal polyps are typically found during routine screening esophagogastroduodenoscopy for patients who have known hereditary polyposis syndromes
A 12-year-old Caucasian male with a history of morbid obesity, hyperlipidemia, and episodic mood disorder presented with abdominal pain he had been experiencing for one year
Heterotopic tissue can be seen throughout the gastrointestinal tract

Summary

Case Presentation

A 12-year-old Caucasian male with a history of morbid obesity, hyperlipidemia, and episodic mood disorder presented with abdominal pain he had been experiencing for one year. He reported sharp pain predominantly in the epigastrium and occasionally in the right upper quadrant. An esophagogastroduodenoscopy revealed a large pedunculated polyp in the second portion of the duodenum, approximately 4 cm in length and 1 cm in width (Figure 1). One the smaller polyps can be seen in figure 2. Since resection of the above lesions, the patient has been asymptomatic

Discussion

Findings

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