A Case of Gastro-Gastric Intussusception Secondary to Primary Gastric Lymphoma

Abstract

In adults, most intussusceptions develop from a lesion, usually a benign or malignant neoplasm, and can occur at any site in the gastrointestinal tract. Intussusception in the proximal gastrointestinal tract is uncommon, and gastro-gastric intussusception is extremely rare. We present a case of gastro-gastric intussusception secondary to a primary gastric lymphoma. An 82-year-old female patient presented with acute onset chest pain and vomiting. Abdominal CT revealed a gastro-gastric intussusception. We performed upper gastrointestinal endoscopy, revealing a large gastric mass invaginated into the gastric lumen and distorting the distal stomach. Uncomplicated gastric reposition was achieved with endoscopy of the distal stomach. Histological evaluation of the gastric mass revealed a diffuse large B cell lymphoma that was treated with chemotherapy. (

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.…”