Acute gastroesophageal intussusception in a patient with pneumomediastinum, pneumoperitoneum, and extensive subcutaneous emphysema resulting from iatrogenic colonic perforation

Abstract

Acute gastroesophageal intussusception is a rare condition in which the stomach invaginates into the adjacent esophagus. We report a case of acute gastroesophageal intussusception with massive pneumomediastinum, pneumoperitoneum, and subcutaneous emphysema, effectively treated with conservative management.

Intra-Abdominal Hypertension-Induced Gastroesophageal Intussusception: A Rare Complication of Transurethral Resection of a Bladder Tumor

“…A previous report described a case in which GEI developed in a patient with massive pneumoperitoneum due to iatrogenic colonic perforation. Though IAP was not measured in that case, the GEI was reduced only by laparotomy degassing, without any additional surgical treatment [ 4 ]. Therefore, similar to our case, IAP decompression can contribute to GEI reduction.…”

“…Gastroesophageal intussusception (GEI) is a disease that is likely to develop in patients with risk factors such as anatomical abnormalities or digestive disorders [ 1 – 3 ]. The development of GEI in patients without risk factors is rare [ 4 ]. GEI can cause serious complications, such as esophageal perforation [ 1 ]; therefore, an immediate reduction is required.…”

“…GEI can cause serious complications, such as esophageal perforation [ 1 ]; therefore, an immediate reduction is required. However, while the treatment for GEI reduction generally requires endoscopic or surgical intervention [ 3 , 4 ], which is sometimes invasive, a less invasive procedure is desirable, when appropriate.…”