Helicobacter pylori-associated peptic ulcer in heterotopic gastric mucosa within ileal duplication.

A 12-year-old boy, operated on for remitting abdominal pain and hematochezia, had an ileal duplication, with Helicobacter "gastritis" under a chronic peptic ulcer in the ectopic fundic gastric mucosa. We suggest the Helicobacter infection might have played a role in the pathogenesis of the inflammation and the peptic ulceration in this rare location.