Jejunal perforation secondary to jejunal heterotopic gastric mucosa – a case report

Jejunal heterotopic gastric mucosa is rare entity. Furthermore, perforated ulcer secondary to jejunal heterotopic gastric mucosa is extremely rare. A 51-year-old male presented with abrupt abdominal pain. At that time, he was taking medication for his pulmonary tuberculosis. He underwent laparotomy due to pneumoperitoneum. At laparotomy, a perforation site was found 100 cm distal to the ligament of Treitz. On macroscopic examination, the mucosa showed an ill-defined shallow ulceration adjacent to the perforation site. Microscopic examinations revealed a perforated peptic ulcer with heterotopic gastric mucosa composed of foveolar epithelium and pyloric and fundic type glands.