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We report here how a heterotopic penetrating peptic ul- cer progressed to cause small bowel obstruction in a pa- tient with multiple previous negative investigations.The clinical presentation,radiographic features and patho- logical findings of this case are described,along with the salient lessons learnt.The added value of wireless cap- sule endoscopy (WCE) in such circumstances is debated.
We report here how a heterotopic penetrating peptic ul- cer progressed to cause small bowel obstruction in a pa- tient with multiple previous negative investigations. Clinical manifestations, radiographic features and patho- logical findings of this case are described, along with the salient lessons learnt. added value of wireless cap-sule endoscopy (WCE) in such circumstances is debated.