Gastrogastric intussusception secondary to a gastric carcinoma: Report of a case

Abstract

Intussusception is uncommon in the proximal gastrointestinal tract, although a few case reports have been published on gastroduodenal intussusception associated with an anatomical abnormality or intussusceptions at a site of gastrojejunostomy after gastric surgery. We herein present a case of gastrogastric intussusception secondary to a gastric cancer, which presented as vomiting and poor oral intake. A 73-year-old woman was diagnosed with gastric cancer during a cancer screening by esophagogastroduodenoscopy and biopsy. Twenty days later, she presented with acute vomiting, a high fever, an increased heart rate, and severe anemia. Esophagogastroduodenoscopy demonstrated that the mass had been intussuscepted into the gastric lumen and distorted the distal antrum of the stomach. Standard distal subtotal gastrectomy was performed without reduction. Her postoperative course was uneventful.

Gastroduodenal Intussusception Secondary to Hyperplastic Polyps with Adenocarcinoma

“…[1][2][3][4][5] Gastroduodenal intussusception secondary to gastric carcinoma is uncommon. 6,7 Clinical symptoms of gastroduodenal intussusception vary from asymptomatic, mild chronic intermittent epigastric pain, to acute gastric outlet obstruction with vomiting, to pancreatitis. [1][2][3][4][5][6][7][8] One patient with gastroduodenal intussusception secondary to a large hyperplastic polyp was reported to present with acute symptoms.…”

“…6,7 Clinical symptoms of gastroduodenal intussusception vary from asymptomatic, mild chronic intermittent epigastric pain, to acute gastric outlet obstruction with vomiting, to pancreatitis. [1][2][3][4][5][6][7][8] One patient with gastroduodenal intussusception secondary to a large hyperplastic polyp was reported to present with acute symptoms. 1 Our patient experienced only mild symptoms despite similar underlying pathology.…”

“…1,2 Most such cases have an underlying condition (benign or malignant) as a lead point. [1][2][3][4][5][6][7][8] Gastric hyperplastic polyps are the most common type of non-fundic gland gastric polyps incidentally found during endoscopy. 9,10 They usually occur in the antrum and are rarely associated with dysplasia or carcinoma, with the reported risk being 0.6% to 19%.…”

Clinics in diagnostic imaging (204)

“…Gastro-gastric intussusception results from the invagination of the proximal stomach into the distal stomach. There have only been several published cases of gastro-gastric intussusception, (1)(2)(3)(4)(5)(6) all of which have a gastric tumour as a lead point. The gastric tumours in question include primary gastric lymphoma, (1) gastric carcinoma (2) and hypertrophic gastric polyps.…”

“…There have only been several published cases of gastro-gastric intussusception, (1)(2)(3)(4)(5)(6) all of which have a gastric tumour as a lead point. The gastric tumours in question include primary gastric lymphoma, (1) gastric carcinoma (2) and hypertrophic gastric polyps. (3) Only two cases of gastro-gastric intussusceptions due to leiomyomas (4,5) and one due to a GIST (6) have previously been reported.…”