Gastroduodenal Intussusception Due to Pedunculated Polypoid Gastrointestinal Stromal Tumor

Seok, Hyo Sun; Shon, Chong Il; Seo, Hyun Ook; Choi, Young Ghil; Chung, Won Gil; Won, Hyun Sun

doi:10.4166/kjg.2012.59.5.372

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…The treatment of gastroduodenal intussusception caused by gastric GIST mainly includes surgical resection and endoscopic treatment. Twenty-two previous cases 3 – 5 , 15 – 33 were treated by surgical resection and only two cases 11 , 14 were treated by endoscopic submucosal dissection (ESD). Notably, 12 cases underwent laparoscopic surgery, but no studies have reported the use of a robotic approach.…”

Section: Discussionmentioning

confidence: 99%

“…12,13 We identified 43 reported cases of gastroduodenal intussusception caused by gastric tumors in adults in the literature (PubMed), including 24 cases of gastric GIST. [3][4][5]11,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] The clinical characteristics of these previous cases and the current case are presented in Table 1. There were 9 men and 15 women, ranging from 23 to 95 years of age.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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Adult Intussusception due to Gastrointestinal Stromal Tumor: A Rare Case Report, Comprehensive Literature Review, and Diagnostic Challenges in Low-Resource Countries

Ssentongo

Egan²,

Arkorful³

et al. 2018

Case Reports in Surgery

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We present a rare case of gastrogastric intussusception due to gastrointestinal stromal tumor (GIST) and the largest comprehensive literature review of published case reports on gastrointestinal (GI) intussusception due to GIST in the past three decades. We found that the common presenting symptoms were features of gastrointestinal obstruction and melena. We highlight the diagnostic challenges faced in low-resource countries. Our findings emphasize the importance of early clinical diagnosis in low-resource settings in order to guide timely management. In addition, histological analysis of the tumor for macroscopic and microscopic characteristics including mitotic index and c-Kit/CD117 status should be obtained to guide adjuvant therapy with imatinib mesylate. Periodic follow-up to access tumor recurrence is fundamental and should be the standard of care.

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Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor: A case report and review of the literature

Hsieh¹,

Hsu²,

Lee³

et al. 2021

WJCC

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BACKGROUND Gastric gastrointestinal stromal tumor (GIST) is the most common etiology of gastroduodenal intussusception. Although gastroduodenal intussusception caused by gastric GIST is mostly treated by surgical resection, the first case of gastroduodenal intussusception caused by gastric GIST was treated by endoscopic submucosal dissection (ESD) in Japan in 2017. CASE SUMMARY An 84-year-old woman presented with symptoms of postprandial fullness with nausea and occasional vomiting for a month. Initially, she visited a local clinic for help, where abdominal sonography revealed a space-occupying lesion around the liver, so she was referred to our hospital for further confirmation. Abdominal sonography was repeated, which revealed a mass with an alternating concentric echogenic lesion. Esophagogastroduodenoscopy (EGD) was performed under the initial impression of gastric cancer with central necrosis and showed a tortuous distortion of gastric folds down from the lesser curvature side to the duodenal bulb with stenosis of the gastric outlet. EGD was barely passed through to the 2nd portion of the duodenum and a friable ulcerated mass was found. Several differential diagnoses were suspected, including gastroduodenal intussusception, gastric cancer invasion to the duodenum, or pancreatic cancer with adherence to the gastric antrum and duodenum. Abdominal computed tomography for further evaluation was arranged and showed gastroduodenal intussusception with a long stalk polypoid mass 5.9 cm in the duodenal bulb. Under the impression of gastroduodenal intussusception, ESD was performed at the base of the gastroduodenal intussusception; unfortunately, a gastric perforation was found after complete resection was accomplished, so gastrorrhaphy was performed for the perforation and retrieval of the huge polypoid lesion. The gastric tumor was pathologically proved to be a GIST. After the operation, there was no digestive disturbance and the patient was discharged uneventfully on the 10th day following the operation. CONCLUSION We present the second case of gastroduodenal intussusception caused by GIST treated by ESD. It is also the first case report of gastroduodenal intussusception by GIST in Taiwan, and endoscopic reduction or resection is an alternative treatment for elderly patients who are not candidates for surgery.

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Gastroduodenal Intussusception Due to Pedunculated Polypoid Gastrointestinal Stromal Tumor

Cited by 3 publications

References 17 publications

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

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

Adult Intussusception due to Gastrointestinal Stromal Tumor: A Rare Case Report, Comprehensive Literature Review, and Diagnostic Challenges in Low-Resource Countries

Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor: A case report and review of the literature

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