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

Abstract

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.

Ball-Valve Syndrome Secondary to Large Fundic Adenoma

“…In severe and delayed presentations, bowel ischemia and peritonitis have been reported. 2 , 4 , 7 Not uncommonly patients can present with periodic and intermittent symptoms caused by intermittent prolapse of gastric lesion through the pylorus. This is described as the ball-valve syndrome.…”

Case report: a rare case of gastroduodenal intussusception caused by GIST in an elderly patient and literature review

“…Zhang et al . [ 7 ] reported a similar case and compiled a list of 43 documented cases of gastric intussusception secondary to gastric tumors, out of which 24 were GIST. It is worth noting that it is responsible for >50% of the documented cases of gastroduodenal intussusception.…”

Intestinal Intussusception in Adult Patients. A Single Center Experience and Review of the Literature

“…Regarding location of intussusception in adult patients, the small bowel is generally affected more frequently than the colon and the most common types of intussusception are the ileocolic, the enteroenteric and the colocolic one [8]. On the other hand, the upper gastrointestinal tract is rarely involved with few cases of gastroduodenal intussusception being described in the literature [9]. Finally, even more rare is the colorectal [10] and the coloanal intussusception [11].…”