Acute intrathoracic gastric volvulus with retrograde gastric intussusception: A case report of a rare surgical emergency with review of the literature

G, Caruso; Caramma, Sebastiano; Zappalà, Angelo; Zerbo, D.; Evola, Giuseppe; Reina, Carlo; Reina, Giuseppe Angelo

doi:10.1016/j.ijscr.2020.06.042

Cited by 6 publications

(10 citation statements)

References 19 publications

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“…This clinical case describes an extremely rare JV causing gastrointestinal obstruction. Volvulus occurs most commonly in the large bowel than in the small bowel and stomach [4] . SBV is a rare condition among adults where the bowel loops coiled around the axis of its own mesentery.…”

Section: Discussionmentioning

confidence: 99%

Jejunal volvulus within an inguinal hernia sac like as an extremely rare cause of acute mechanical gastrointestinal obstruction in adults: First literature report

Evola

Scravaglieri

Fede³

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Jejunal volvulus within an inguinal hernia sac like as an extremely rare cause of acute mechanical gastrointestinal obstruction in adults: First literature report

Evola

Scravaglieri

Fede³

et al. 2022

International Journal of Surgery Case Reports

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“…This led to ischemic necrosis and perforation of the gastric antrum that resulted in death by septic shock. 2 In 2018, a duodenal intussusception was reported as a complication of biliopancreatic diversion. 4 Our patient did not have ascites, malignancy confirmed on biopsy, prior abdominal surgeries, volvulus, or hiatal hernia.…”

Section: Discussionmentioning

confidence: 99%

“…In 2019, an 82‐year‐old patient had a severe gastrogastric intussusception with a gastric volvulus and a hiatal hernia. This led to ischemic necrosis and perforation of the gastric antrum that resulted in death by septic shock 2 . In 2018, a duodenal intussusception was reported as a complication of biliopancreatic diversion 4 .…”

Section: Discussionmentioning

confidence: 99%

“…From 1950 to 2017, there have been only 9 case reports of gastrogastric intussusception, with all cases attributed to neoplasms 1 . Recently, there have been a few reported cases caused by ascites or hiatal hernias 2,3 . Here, we present a case of a 65‐year‐old male found to have a gastrogastric intussusception in the setting of a small bowel obstruction with no evidence of neoplasm confirmed by biopsy.…”

Section: Introductionmentioning

confidence: 92%

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Gastrogastric intussusception in the setting of a small bowel obstruction

2022

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Adult patients comprise 5% of all intussusceptions with 2 to 3 cases per million per year. Of those, only 10% of adult intussusceptions involve the stomach. Gastrogastric intussusceptions are most often associated with lead points caused by gastric neoplasms, with a few caused by hiatal hernias or ascites. Unlike children, adult intussusceptions are rarely idiopathic. Herein, a case is presented of a 65‐year‐old male who was found to have a gastrogastric intussusception in the setting of a small bowel obstruction with no evidence of neoplasm confirmed by biopsy. The patient initially presented to the emergency department with nausea, emesis, and epigastric pain. Given that almost all reported cases have been associated with gastric neoplasms, this case shows an unusual phenomenon of gastrogastric intussusception that has not reported before. Furthermore, our case offers a different etiology of gastrogastric intussusception in adults other than being due to a gastric neoplasm.

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“…If untreated, intussusception can cause ischemia of the invaginated bowel wall and consequent perforation with peritonitis [7] , [8] .…”

Section: Discussionmentioning

confidence: 99%

Primary jejunogastric intussusception: A case report and review of the literature

Toscano

Gangemi³

et al. 2021

International Journal of Surgery Case Reports

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Introduction Jejunogastric intussusception following gastric surgery is a rare complication that, if not diagnosed early, can have catastrophic outcomes. Presentation of case We have reported a case, never described previously, of an acute spontaneous retrograde JGI, presenting with obstruction and hematemesis, in a 70-year-old woman who has never, previously, undergone abdominal surgery. Discussion As in all cases of intestinal intussusception, early diagnosis is important for acute JGI as mortality rates increase from 10% when the intervention occurs within 48 h. to 50% if treatment is delayed for 96 h. The diagnosis of JGI can be determined with many imaging studies, such as endoscopy, ultrasonography (US), barium stadium and CT scan. Although JGI, up to now, has been described as a rare complication after any type of gastric surgery, this disease must, however, be suspected also in patients who have never undergone abdominal surgery, if they present with non-sedable abdominal pain associated with signs of high intestinal obstruction and hematemesis. Conclusion Our hope is to add to the available literature to aid physicians in their diagnostic work-up and in developing management plans for similar cases occurring in the future.

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Acute intrathoracic gastric volvulus with retrograde gastric intussusception: A case report of a rare surgical emergency with review of the literature

Cited by 6 publications

References 19 publications

Jejunal volvulus within an inguinal hernia sac like as an extremely rare cause of acute mechanical gastrointestinal obstruction in adults: First literature report

Jejunal volvulus within an inguinal hernia sac like as an extremely rare cause of acute mechanical gastrointestinal obstruction in adults: First literature report

Gastrogastric intussusception in the setting of a small bowel obstruction

Primary jejunogastric intussusception: A case report and review of the literature

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