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Sadeghi A, Ahmadpour S, Habibi MA, Hormati A, Sarkeshikian SS, Pezeshgi Modarres M. VOMITING AFTER ADMISSION: INTUSSUSCEPTION DUE TO GASTROINTESTINAL STROMAL TUMOR (GIST). Gastroenterol Nurs 2023; 46:71-75. [PMID: 36706145 DOI: 10.1097/sga.0000000000000715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 07/08/2022] [Indexed: 01/28/2023] Open
Affiliation(s)
- Ali Sadeghi
- Ali Sadeghi, MD, Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
- Sajjad Ahmadpour, PhD, is at Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Mohammad Amin Habibi, MD, is at Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran; and Iranian Tissue Bank & Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Science, Tehran, Iran
- Ahmad Hormati, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
- Seyed Saeed Sarkeshikian, MD, is Assistant Professor of Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
- Mehdi Pezeshgi Modarres, PhD, is Assistant Professor of Gastroenterology and Hepatology, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
| | - Sajjad Ahmadpour
- Ali Sadeghi, MD, Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
- Sajjad Ahmadpour, PhD, is at Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Mohammad Amin Habibi, MD, is at Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran; and Iranian Tissue Bank & Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Science, Tehran, Iran
- Ahmad Hormati, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
- Seyed Saeed Sarkeshikian, MD, is Assistant Professor of Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
- Mehdi Pezeshgi Modarres, PhD, is Assistant Professor of Gastroenterology and Hepatology, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
| | - Mohammad Amin Habibi
- Ali Sadeghi, MD, Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
- Sajjad Ahmadpour, PhD, is at Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Mohammad Amin Habibi, MD, is at Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran; and Iranian Tissue Bank & Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Science, Tehran, Iran
- Ahmad Hormati, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
- Seyed Saeed Sarkeshikian, MD, is Assistant Professor of Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
- Mehdi Pezeshgi Modarres, PhD, is Assistant Professor of Gastroenterology and Hepatology, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
| | - Ahmad Hormati
- Ali Sadeghi, MD, Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
- Sajjad Ahmadpour, PhD, is at Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Mohammad Amin Habibi, MD, is at Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran; and Iranian Tissue Bank & Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Science, Tehran, Iran
- Ahmad Hormati, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
- Seyed Saeed Sarkeshikian, MD, is Assistant Professor of Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
- Mehdi Pezeshgi Modarres, PhD, is Assistant Professor of Gastroenterology and Hepatology, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
| | - Seyed Saeed Sarkeshikian
- Ali Sadeghi, MD, Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
- Sajjad Ahmadpour, PhD, is at Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Mohammad Amin Habibi, MD, is at Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran; and Iranian Tissue Bank & Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Science, Tehran, Iran
- Ahmad Hormati, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
- Seyed Saeed Sarkeshikian, MD, is Assistant Professor of Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
- Mehdi Pezeshgi Modarres, PhD, is Assistant Professor of Gastroenterology and Hepatology, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
| | - Mehdi Pezeshgi Modarres
- Ali Sadeghi, MD, Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
- Sajjad Ahmadpour, PhD, is at Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Mohammad Amin Habibi, MD, is at Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran; and Iranian Tissue Bank & Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Science, Tehran, Iran
- Ahmad Hormati, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
- Seyed Saeed Sarkeshikian, MD, is Assistant Professor of Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
- Mehdi Pezeshgi Modarres, PhD, is Assistant Professor of Gastroenterology and Hepatology, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran
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Zhang W, Chen H, Zhu L, Kong Z, Wang T, Li W. Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor in adults: a case report and literature review. J Int Med Res 2022; 50:3000605221100772. [PMID: 35632985 PMCID: PMC9150259 DOI: 10.1177/03000605221100772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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.
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Affiliation(s)
- Wenbing Zhang
- Department of Gastrointestinal Surgery, the First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, Jiangsu Province, China
| | - Haifeng Chen
- Department of Gastroenterology, the First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, Jiangsu Province, China
| | - Lulu Zhu
- Department of Pathology, the First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, Jiangsu Province, China
| | - Zhiyuan Kong
- Department of Gastrointestinal Surgery, the First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, Jiangsu Province, China
| | - Tingting Wang
- Department of Nephrology, the First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, Jiangsu Province, China
| | - Weiping Li
- Department of Gastrointestinal Surgery, the First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, Jiangsu Province, China
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Hsieh YL, Hsu WH, Lee CC, Wu CC, Wu DC, Wu JY. Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor: A case report and review of the literature. World J Clin Cases 2021; 9:838-846. [PMID: 33585630 PMCID: PMC7852652 DOI: 10.12998/wjcc.v9.i4.838] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 11/19/2020] [Accepted: 12/10/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Gastric gastrointestinal stromal tumor (GIST) is the most common etiology of gastroduodenal intussusception. Although 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 2017.
CASE SUMMARY An 84-year-old woman presented with symptoms of postprandial fullness with nausea and occasional vomiting for a month. Initially, 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 confirmation. Abdominal sonography was repeated, which revealed a mass with an alternating concentric echogenic lesion. Esophagogastroduodenoscopy (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 outlet. EGD was barely passed through to the 2nd portion of the duodenum and a friable ulcerated mass was found. Several differential diagnoses were suspected, including gastroduodenal intussusception, gastric cancer invasion to the duodenum, or pancreatic cancer with adherence to the gastric antrum and duodenum. Abdominal computed tomography for further evaluation was arranged and showed gastroduodenal intussusception with a long stalk polypoid mass 5.9 cm in the duodenal bulb. Under 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 lesion. The gastric tumor was pathologically proved to be a GIST. After the operation, there was no digestive disturbance and the patient was discharged uneventfully on the 10th day following the operation.
CONCLUSION We present the second case of gastroduodenal intussusception caused by GIST treated by ESD. It is also the first case report of gastroduodenal intussusception by GIST in Taiwan, and endoscopic reduction or resection is an alternative treatment for elderly patients who are not candidates for surgery.
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Affiliation(s)
- Yi-Lun Hsieh
- Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
| | - Wen-Hung Hsu
- Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
| | - Ching-Chun Lee
- Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
| | - Chun-Chieh Wu
- Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
| | - Deng-Chyang Wu
- Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
| | - Jeng-Yih Wu
- Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
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Đokić M, Novak J, Petrič M, Ranković B, Štabuc M, Trotovšek B. Case report and literature review: patient with gastroduodenal intussusception due to the gastrointestinal stromal tumor of the lesser curvature of the gastric body. BMC Surg 2019; 19:158. [PMID: 31664984 PMCID: PMC6819360 DOI: 10.1186/s12893-019-0608-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 09/17/2019] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Intussusception in adult patient is rare. Gastroduodenal intussusception due to the gastrointestinal stromal tumors is infrequently described in the literature. Authors present a case of gastroduodenal intussusception due to the low-risk gastrointestinal stromal tumor of the lesser curvature of the gastric body with literature review. CASE PRESENTATION Sixty-two-year-old male was admitted to our hospital with symptoms of acute gastric outlet obstruction. Imaging studies confirmed a lesion of the gastric wall producing gastroduodenal intussusception with pylorus obstruction. Upon laparotomy a tumor mass of the lesser curvature of the gastric body that invaginated through the pylorus into the duodenum was found. Desinvagination and resection of the tumor with the adequate resection margins were performed. Histology reveled a low-risk gastrointestinal stromal tumor. Due to favorable outcome only observation was suggested by the multidisciplinary team. CONCLUSIONS Gastroduodenal intussusception due to the gastrointestinal stromal tumor of the gastric wall is a rare event. Surgical resection is the treatment of choice. In selected cases laparosopic resection of the tumor can be performed.
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Affiliation(s)
- Mihajlo Đokić
- Department of Abdominal Surgery, Ljubljana University Medical Center, Zaloška cesta 7, 1000, Ljubljana, Slovenia
| | - Jerica Novak
- Department of Surgical Oncology, Ljubljana Institute of OncologyActa Chir Belg, Zaloška cesta 2, 1000, Ljubljana, Slovenia.
| | - Miha Petrič
- Department of Abdominal Surgery, Ljubljana University Medical Center, Zaloška cesta 7, 1000, Ljubljana, Slovenia
| | - Branislava Ranković
- Institute of Pathology, Faculty of Medicine, University of Ljubljana, Korytkova 2, 1000, Ljubljana, Slovenia
| | - Miha Štabuc
- Department of Radiology, Ljubljana University Medical Center, Zaloška cesta 7, 1000, Ljubljana, Slovenia
| | - Blaž Trotovšek
- Department of Abdominal Surgery, Ljubljana University Medical Center, Zaloška cesta 7, 1000, Ljubljana, Slovenia
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