Hurley H, Cahill RA, Ryan P, Morcos AI, Redmond HP, Kiely HM. Penetrating ectopic peptic ulcer in the absence of Meckel’s diverticulum ultimately presenting as small bowel obstruction. World J Gastroenterol 2007; 13(46): 6281-6283 [PMID: 18069775 DOI: 10.3748/wjg.v13.i46.6281]
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HP Redmond, Professor, Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland. firstname.lastname@example.org
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Penetrating ectopic peptic ulcer in the absence of Meckel’s diverticulum ultimately presenting as small bowel obstruction
Hilary Hurley, Ronan A Cahill, Paul Ryan, Ashraf I Morcos, Henry P Redmond, Helen M Kiely
Hilary Hurley, Ronan A Cahill, Henry P Redmond, Department of Surgery, Cork University Hospital, Cork, Ireland
Paul Ryan, Helen M Kiely, Department of Pathology, Cork University Hospital, Cork, Ireland
Ashraf I Morcos, Department of Gastroenterology, Mercy University Hospital, Cork, Ireland
Author contributions: All authors contributed equally to the work.
Correspondence to: HP Redmond, Professor, Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland. email@example.com
Received: July 16, 2007 Revised: September 6, 2007 Accepted: October 15, 2007 Published online: December 14, 2007
We report here how a heterotopic penetrating peptic ulcer progressed to cause small bowel obstruction in a patient with multiple previous negative investigations. The clinical presentation, radiographic features and pathological findings of this case are described, along with the salient lessons learnt. The added value of wireless capsule endoscopy (WCE) in such circumstances is debated.