Duodenojejunal intussusception secondary to a duodenal lipoma presenting in a young boy

McGrath, F.; Moote, Douglas; Langer, Jacob C.; Orr, William; Somers, Sat

doi:10.1007/bf02012606

Cited by 27 publications

(24 citation statements)

References 2 publications

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“…(b) GI bleeding, complicated by anemia, is the second most common symptom, approximately in half the cases. (c) Biliary-pancreatic duct obstruction: if the mass acting as the lead point is located close to the ampulla, the common bile duct and the pancreatic duct may be dragged along with the intussusceptum, causing compression or angulation of these ducts and leading to biliary-pancreatic drainage obstruction, which may be clinically manifested by obstructive jaundice [12,13,15,35,43] or recurrent [7,40], chronic [15,22], or acute [8,16,21,37] pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

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Duodenal intussusception due to a giant neuroendocrine carcinoma in a patient with Peutz–Jeghers syndrome

Chen

Yu²,

Yang³

et al. 2012

European Journal of Gastroenterology & Hepatology

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Duodenal intussusception is a rare entity. To date, only a few cases have been reported in the literature. In this report, a case of duodenal intussusception due to an unusual tumor was presented and the clinical features of this entity were discussed. A 42-year-old man with Peutz-Jeghers syndrome presented with epigastric pain, vomiting, and severe anemia. Computed tomography scan revealed synchronous duodenojejunal and jejunojejunal intussusceptions. An emergency laparotomy revealed a polypoid mass originating from the lateral wall of the descending duodenum with intussusception of the distal duodenum. Histological examination demonstrated a poorly differentiated neuroendocrine carcinoma with muscularis infiltration, vascular invasion, and a Ki-67 index of 20%. A comprehensive literature search revealed 44 English reports that provided adequate descriptions of an additional 47 such cases. Clinical presentation was usually chronic and nonspecific. Diagnostic modalities included ultrasonography, upper gastrointestinal series, computed tomography, and endoscopy. Five patients were due to a non-neoplastic lesion; however, the other 43 patients were secondary to a tumor, benign in 35 cases and malignant in eight cases. Only one patient was treated by endoscopic polypectomy, whereas the remaining underwent open surgeries. Duodenal intussusception is a challenging condition due to its rarity and nonspecific presentation. It should be considered in the differential diagnosis of gastric outlet obstruction, upper gastrointestinal bleeding, pancreatitis, and obstructive jaundice.

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Section: Discussionmentioning

confidence: 99%

“…It tends to occur more frequently in adult and female patients. There were 39 adults and nine children [36][37][38][39][40][41][42][43][44]. The age of presentation ranged from 10 months to 73 years, with a median of 38.0 years.…”

Section: Discussionmentioning

confidence: 99%

Duodenal intussusception due to a giant neuroendocrine carcinoma in a patient with Peutz–Jeghers syndrome

Chen

Yu²,

Yang³

et al. 2012

European Journal of Gastroenterology & Hepatology

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“…Duodenal lipomas are mostly seen in the second part (85.7%). Obstruction-causing duodenal lipomas are extremely rare and may present as obstruction such as intestinal obstruction [1-7], gastric outlet obstruction [8-10], intussusception [11, 12] and obstructive jaundice [8]. The first case was reported by Kirkland et al in 1951 [1].…”

Section: Discussionmentioning

confidence: 99%

Multiple Duodenal Lipomas as a Rare Cause of Upper Gastrointestinal Obstruction: Case Report and Literature Review

Pei

Chen

et al. 2017

Gastroenterol Res

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Duodenal lipomas are rare benign tumors and pose a diagnostic challenge as their symptoms are non-specific. In this article, we reported a case of duodenal lipoma presenting as upper gastrointestinal obstruction and reviewed the literature on relevant clinical manifestation, diagnosis and treatment. Our review of literature indicated that multiple duodenal lipomas as a cause of upper gastrointestinal obstruction as reported here are extremely rare. The preoperative computed tomography and magnetic resonance imaging are the key to diagnosis, and surgical resection is the most effective means for the management of such duodenal lipomas.

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“…A palpable abdominal mass may be present in only 7% to 42% of cases. [6] In cases described by McGrath et al [7] and Chalmers et al [8] who encountered duodenal tumours with duodenoduodenal intussusceptions, they found dilated biliary and pancreatic ducts in their patients. However these features were not seen in our case.…”

Section: Case Reportmentioning

confidence: 94%

A Case of Duodeno - Duodenal Intussusception

Naik¹,

Arjun²,

Kudari³

2015

jemds

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ABSTRACT:Intussusception is the telescoping of the full thickness of the bowel wall into the distal segment. Here we present a rare case duodenoduodenal intussusception with symptoms of recurrent abdominal pain and vomiting since two years. Surgical excision remains the treatment of choice in such cases as done in ours with the histopathology confirming the lead point to be a benign tubulovillous adenoma. Intussusception in adults presents with vague abdominal symptoms, hence the diagnosis becomes a challenge. The diagnosis is usually confirmed with the help of a CT scan or at laparotomy in the event of an emergency.

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Duodenojejunal intussusception secondary to a duodenal lipoma presenting in a young boy

Abstract: A case of duodenojejunal intussusception secondary to a single multilobulated duodenal lipoma mimicking acute pancreatitis in a 12-year-old boy is presented. Duodenojejunal intussusception is a rare entity because of the somewhat fixed position of the duodenum within the retroperitoneum.

Cited by 27 publications

References 2 publications

Duodenal intussusception due to a giant neuroendocrine carcinoma in a patient with Peutz–Jeghers syndrome

Duodenal intussusception due to a giant neuroendocrine carcinoma in a patient with Peutz–Jeghers syndrome

Multiple Duodenal Lipomas as a Rare Cause of Upper Gastrointestinal Obstruction: Case Report and Literature Review

A Case of Duodeno - Duodenal Intussusception

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