, Volume 16, Issue 2, pp 167-168
Date: 29 Nov 2011

Heterotopic gastric mucosa of the anus associated with anal ulcer

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Dear Editor

Heterotopic gastric mucosa is a congenital anomaly that can occur throughout the gastrointestinal tract. It has been reported in the tongue, duodenal bulb, small bowel, pancreas, gallbladder, and in the cervical esophagous “inlet patch.” Heterotopic gastric mucosa is extremely rare in the anorectal region [1]. We report the case of a 57-year-old man who presented with worsening anal pain and bleeding. Five years prior to current presentation, an 8-mm sessile polyp was noted in the distal rectum. Forceps biopsy of the lesion revealed heterotopic gastric mucosa. Since the patient’s symptoms were not severe, no further intervention was done. However due to the progression of his symptoms, colonoscopy was performed and revealed a flat lesion in the distal rectum (Fig. 1). Repeat biopsy confirmed benign heterotopic gastric mucosa. Because of his worsening symptoms, the patient was referred for colorectal surgical consultation. Upon further questioning, he reported a 10-year histo ...