EPITHELIAL misplacements (heterotopias) in the gastrointestinal tract can often be mainly of academic interest. On the other hand, by virtue of their anatomical localization, some heterotopias might be expected to give rise to symptoms and these might present a difficulty in terms of differential diagnosis between a benign and a malignant condition.We report the case of a 10-year-old girl whose clinical and roentgenological picture was suggestive of a malignant process involving the stomach, and the diagnosis of heterotopic malformation was achieved by means of peroral gastric mucosal biopsy.
Report of a Case
Case History.—A 10-year-old girl, born in Israel of parents from Morocco, was referred to the Pediatric Outpatient Clinic of the Hadassah University Hospital because of anorexia of three months duration, associated with a loss of weight of about 22 lbs (10 kg). During these three months the child had stopped eating and had started to