Oesophagogastric invagination

Abstract

Oesophagogastric invagination is a relatively rare disease that is primarily caused by a sliding hiatal hernia. We report a successfully treated case of oesophagogastric invagination caused by achalasia. Oesophagogastric invagination should be considered in patients complaining of upper abdominal discomfort.

Acute gastroesophageal intussusception in a patient with pneumomediastinum, pneumoperitoneum, and extensive subcutaneous emphysema resulting from iatrogenic colonic perforation

“…Gastroesophageal intussusception caused by achalasia has been diagnosed with CT in an adult (3), and in a child with intussusception of unclear cause (2). Intussusception was first suspected on endoscopy in the adult, and fluoroscopy in the child, and CT was performed for confirmation (2,3). However, multidetector CT (MDCT) in our case clearly identified gastroesophageal intussusception.…”

“…Furthermore, acute gastroesophageal intussusception on computed tomography (CT) imaging is extremely rare condition. To the best of our knowledge, only two cases have been reported (2,3). We describe a case of acute gastroesophageal intussusception secondary to iatrogenic injury of the colon.…”

“…Gowen et al reported large case series with gastroesophageal intussusceptions and most patients were diagnosed successfully by endoscopy (1). Only a few reported cases have been diagnosed using CT (2,3). Gastroesophageal intussusception caused by achalasia has been diagnosed with CT in an adult (3), and in a child with intussusception of unclear cause (2).…”

“…The choice of conservative or surgical treatment for gastroesophageal intussusception remains controversial (1)(2)(3). Previous literature reported successful treatment with surgery and manual reduction (2,3).…”