Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor:A case report and review of the literature
作者机构：Division of GastroenterologyDepartment of Internal MedicineKaohsiung Medical University HospitalKaohsiung 807Taiwan Division of Colorectal SurgeryDepartment of SurgeryKaohsiung Medical University HospitalKaohsiung 807Taiwan Department of PathologyKaohsiung Medical University HospitalKaohsiung 807Taiwan
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第4期
页 面：838-846页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Gastric gastrointestinal stromal tumor Endoscopic submucosal dissection Gastro-duodenal intussusception Elderly Esophagogastroduodenoscopy Gastrointestinal obstruction Case report
摘 要：BACKGROUND Gastric gastrointestinal stromal tumor(GIST)is the most common etiology of gastroduodenal *** 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 *** SUMMARY An 84-year-old woman presented with symptoms of postprandial fullness with nausea and occasional vomiting for a ***,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 *** sonography was repeated,which revealed a mass with an alternating concentric echogenic ***(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 *** was barely passed through to the 2nd portion of the duodenum and a friable ulcerated mass was *** differential diagnoses were suspected,including gastroduodenal intussusception,gastric cancer invasion to the duodenum,or pancreatic cancer with adherence to the gastric antrum and *** computed tomography for further evaluation was arranged and showed gastroduodenal intussusception with a long stalk polypoid mass 5.9 cm in the duodenal *** 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 *** gastric tumor was pathologically proved to be a *** the operation,there was no digestive disturbance and the patient was discharged uneventfully on the 10th day following the op
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