Heterotopia of the gastric mucosa in the rectum: a clinical case report

Heterotopic gastric mucosa is rare in the paediatric population, but it can pose a diagnostic challenge. This pathology occur any part of digestive tract, from oropharynx to anorectal area. Most cases are observed esophagus, duodenum and hepatobiliary system, presence this tissue rectum extremely rare. Purpose - conduct clinical description children order pay doctors` attention need for comprehensive diagnosis patients with hematochezia. Clinical case. We present case child heterotopia into rectum. Symptoms included hematochezia anal pain during act defecation, general weakness, decreased appetite. These manifestations were two years periods exacerbations remissions on background conservative treatment. The final was made basis biopsy nodular formations rectum, detected by colonoscopy. Conclusions. Given negative impact disease patient's quality life potential risk malignant transformation, possibility heterotopic indeterminate bleeding lower gastrointestinal tract should be considered complete examination, including biopsy, performed. Once confirmed, radical surgical removal recommended. Initial treatment proton pump inhibitors provides only short-term relief accompanied exacerbation remission. always or endoscopic excision mucosa. research carried out accordance principles Helsinki Declaration. informed consent patient obtained conducting studies. No conflict interests declared authors.