Acute pancreatitis secondary to a prolapsed gastric fundal GIST

Jones, Owain; Monk, David; Balling, Trevor; Wright, Ann

doi:10.1016/j.ijscr.2011.10.018

Cited by 7 publications

(4 citation statements)

References 12 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…11 According to our review, there are three case reports in the English literature presenting acute pancreatitis secondary to prolapsed gastric GISTs. 13 14 15 In one of these cases, the mass originated from the gastric antrum, whereas the masses originated from the gastric fundus in the other two cases. In all three cases, the masses were prolapsed into the duodenum and induced acute pancreatitis.…”

Section: Discussionmentioning

confidence: 98%

Acute Pancreatitis and Gastroduodenal Intussusception Induced by an Underlying Gastric Gastrointestinal Stromal Tumor: A Case Report

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Acute Pancreatitis and Gastroduodenal Intussusception Induced by an Underlying Gastric Gastrointestinal Stromal Tumor: A Case Report

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Laparoscopic and endoscopic surgical procedures are available in Uganda and at our facility, but laparoscopic gastric wedge resection is not a routine practice. Resection of the offending gastric lesion in gastroduodenal intussusception complicated by pancreatitis results in resolution of the pancreatitis like what happened in the patient presented in this case report [19] , [20] , [21] .…”

Section: Discussionmentioning

confidence: 79%

Gastroduodenal intussusception as a rare cause of pancreatitis in a young female Ugandan: A case report

Okello

Derick

Ocama

2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction and importance Gastroduodenal intussusceptions are rare and usually secondary to gastric lesions acting as the lead point. Gastrointestinal stromal tumors (GISTs) commonly occur in the stomach (40–60%). Other gastric tumors include; adenocarcinomas, leiomyomas, lymphomas among others. When gastric tumors act as lead points in gastroduodenal intussusception, pancreatitis may arise due to compression of the ampulla of Vater or pancreatic head. Gastroduodenal intussusception may mimic other inflammatory upper gastrointestinal conditions leading to delays in early diagnosis and timely intervention. Case presentation A twenty three year old female with gastroduodenal intussusception secondary to a gastric body GIST with associated pancreatitis. This gastroduodenal mass was initially diagnosed as a pancreatic head echo-complex mass by ultrasound. Confirmatory preoperative diagnosis was made after doing contrasted abdominal computed tomography (CT) scan and upper gastrointestinal endoscopy. Open gastric wedge resection was done. Patient had uneventful recovery and was discharged on the fifth postoperative day. Clinical discussion Gastroduodenal intussusceptions have non-specific clinical features that may lead to delays in making the correct diagnosis. CT scan is a good imaging modality for diagnosing this condition but access is limited in low resource settings. Resection of the organic cause after reducing the intussusception leads to resolution of the symptoms caused by the intussusception, the GIST and the resultant pancreatitis. Conclusion Gastroduodenal intussusception is rare and may present with nonspecific clinical features. Pancreatitis may arise due to the compression effects on the ampulla of Vater or pancreatic head. A high index of suspicion is key in making a timely diagnosis.

show abstract

“…7 Extensive literature search to date only yielded reports of 11 cases of such exceptional circumstances, and only 5 cases of acute pancreatitis secondary to gastroduodenal intussusception of gastric GIST (Table 1). [8][9][10][11][12][13][14][15][16][17][18] The mean age of these five patients was 71 years, with a slight female predilection. Three patients had pedunculated GISTs dangling from the fundus, causing intussusception, while the remaining two patients had GIST located in the antrum.…”

Section: Discussionmentioning

confidence: 99%

Gastroduodenal intussusception of a gastrointestinal stromal tumor: a rare cause of acute pancreatitis

et al. 2022

View full text Add to dashboard Cite

Gastrointestinal stromal tumor (GIST) accounts for approximately 1% of all gastrointestinal tract neoplasms. 1 GIST usually presents as an incidental gastric subepithelial lesion during upper endoscopy or abdominal radiologic studies. In symptomatic cases, abdominal pain and gastrointestinal bleeding are common manifestations. Gastrointestinal obstruction is a less frequent presentation, occurring in only 10-30% of patients, 2 while gastroduodenal intussusception and acute pancreatitis are extremely unusual presentations of gastric GIST. This report presents the case of a patient diagnosed with gastric GIST complicated by gastroduodenal intussusception, resulting in acute pancreatitis. CASE REPORTA 55-year-old man presented with worsening epigastric pain and vomiting for 10 days. He reported intermittent abdominal pain for 10 months prior to presentation. Abdominal examination revealed tenderness at the epigastrium. His serum amylase level was 320 U/L, compatible with acute pancreatitis. Abdominal computed tomography (CT) revealed a 4 × 4.7 cm well-defined hyperdense mass in the 2 nd part of the duodenum, compressing the pancreatic head, edematous pancreatic parenchyma, peripancreatic fat stranding, and pancreatic duct dilatation (Fig. 1A, B). Esophagogastroduodenoscopy was significant for abnormal torsion of gastric folds that originated from the gastric fundus, coursed along the lesser curvature, and invaginated into the pyloric canal, thereby blocking the passage of the scope into the duodenal bulb (Fig.

show abstract

Acute pancreatitis secondary to a prolapsed gastric fundal GIST

Abstract: Pancreatitis secondary to a prolapsed gastric GIST is a rare entity. Laparoscopic wedge resection of these tumours can be safely performed with a satisfactory oncological outcome.

Cited by 7 publications

References 12 publications

Acute Pancreatitis and Gastroduodenal Intussusception Induced by an Underlying Gastric Gastrointestinal Stromal Tumor: A Case Report

Acute Pancreatitis and Gastroduodenal Intussusception Induced by an Underlying Gastric Gastrointestinal Stromal Tumor: A Case Report

Gastroduodenal intussusception as a rare cause of pancreatitis in a young female Ugandan: A case report

Gastroduodenal intussusception of a gastrointestinal stromal tumor: a rare cause of acute pancreatitis

Contact Info

Product

Resources

About