Penetrating ectopic peptic ulcer in the absence of Meckel’s diverticulum ultimately presenting as small bowel obstruction

Figure 1 Image of jejeunal luminal stenosis from WCE.

Figure 2 Photomicrograph of a deep penetrating ulcer with underlying fibrosis replacing muscularis propria, extending through the serosa adherent to an underlying small bowel loop (lower field).

Figure 3 Photomicrographs showing (A) heterotopic gastric foveolar mucosa with a few normal small intestinal glands; and (B) scattered cells with eosinophilic cytoplasm compatible with acid-secreting cells.