Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review

Intussusception mostly occurs in childhood and is rare in adults. Although intussusception can occur in any part of the gastrointestinal tract, gastroduodenal intussusception caused by a gastric tumor is relatively uncommon in clinical practice. A PubMed search identified 24 published cases of gastr...

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Main Authors: Wenbing Zhang, Haifeng Chen, Lulu Zhu, Zhiyuan Kong, Tingting Wang, Weiping Li
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221100772
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author Wenbing Zhang
Haifeng Chen
Lulu Zhu
Zhiyuan Kong
Tingting Wang
Weiping Li
author_facet Wenbing Zhang
Haifeng Chen
Lulu Zhu
Zhiyuan Kong
Tingting Wang
Weiping Li
author_sort Wenbing Zhang
collection DOAJ
description Intussusception mostly occurs in childhood and is rare in adults. Although intussusception can occur in any part of the gastrointestinal tract, gastroduodenal intussusception caused by a gastric tumor is relatively uncommon in clinical practice. A PubMed search identified 24 published cases of gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor (GIST); however, it is possible that we missed other cases not included in PubMed. Here we report a case of gastroduodenal intussusception caused by gastric GIST in an 85-year-old man. He came to the hospital because of recurrent black stools. Plain computed tomography (CT) scan indicated a mass in the gastric antrum, with slight enhancement in the arterial phase on enhanced CT scan. He was diagnosed with GIST. In addition, images indicated that the mass overlapped into the duodenum, and gastroduodenal intussusception was thus considered. Gastroscopy showed a huge mass in the gastric body. According to the gastroscopy and CT results, gastroduodenal intussusception caused by a gastric tumor was considered. The patient underwent complete surgical removal, which revealed a mass originating from the gastric antrum and overlapping into the duodenum. The postoperative pathological diagnosis was intermediate-risk gastric GIST. The patient was followed up for 4 months without tumor recurrence.
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spelling doaj.art-00d12484848f45cabe44d6b21529f7ec2022-12-22T03:23:39ZengSAGE PublishingJournal of International Medical Research1473-23002022-05-015010.1177/03000605221100772Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature reviewWenbing ZhangHaifeng ChenLulu ZhuZhiyuan KongTingting WangWeiping LiIntussusception mostly occurs in childhood and is rare in adults. Although intussusception can occur in any part of the gastrointestinal tract, gastroduodenal intussusception caused by a gastric tumor is relatively uncommon in clinical practice. A PubMed search identified 24 published cases of gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor (GIST); however, it is possible that we missed other cases not included in PubMed. Here we report a case of gastroduodenal intussusception caused by gastric GIST in an 85-year-old man. He came to the hospital because of recurrent black stools. Plain computed tomography (CT) scan indicated a mass in the gastric antrum, with slight enhancement in the arterial phase on enhanced CT scan. He was diagnosed with GIST. In addition, images indicated that the mass overlapped into the duodenum, and gastroduodenal intussusception was thus considered. Gastroscopy showed a huge mass in the gastric body. According to the gastroscopy and CT results, gastroduodenal intussusception caused by a gastric tumor was considered. The patient underwent complete surgical removal, which revealed a mass originating from the gastric antrum and overlapping into the duodenum. The postoperative pathological diagnosis was intermediate-risk gastric GIST. The patient was followed up for 4 months without tumor recurrence.https://doi.org/10.1177/03000605221100772
spellingShingle Wenbing Zhang
Haifeng Chen
Lulu Zhu
Zhiyuan Kong
Tingting Wang
Weiping Li
Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review
Journal of International Medical Research
title Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review
title_full Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review
title_fullStr Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review
title_full_unstemmed Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review
title_short Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review
title_sort gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults a case report and literature review
url https://doi.org/10.1177/03000605221100772
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