Open AccessAn unusual endoscopic presentation of diffuse duodenal gastric heterotopia (DGH)
Author(s) -
Sandra María Gómez Espejo,
F. Fernández Pérez,
Pilar Gutiérrez Hernández,
Teresa Pereda Salgado
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6372/2019
Subject(s) - medicine , heterotopia (medicine) , presentation (obstetrics) , gastroenterology , duodenoscopy , duodenum , radiology , pathology
We present the case of a 30-year-old female patient with Gilbert's syndrome and gastrointestinal intolerance to proton pump inhibitors (PPI) with longstanding epigastric pain. Laboratory tests were unremarkable, except for a slight elevation of indirect bilirubin due to Gilbert's syndrome. An upper gastrointestinal tract endoscopy showed a diffuse and homogeneous micropolypoid mucosal pattern that involved the entire duodenal bulb. Histopathology analysis revealed gastric heterotopic mucosa with foveolar epithelium and fundic glands. A diagnosis of diffuse duodenal gastric heterotopia was determined. Anti-H2 blockers were prescribed with a significant clinical improvement.