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Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma

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Gastric lipoma causing gastroduodenal intussusception.

B Sankaranunni¹, D S Ooi, T Sircar

¹Department of General Surgery, Manor Hospital, Walsall, UK.

International Journal of Clinical Practice

|January 5, 2002

Summary

A rare case of gastroduodenal intussusception caused by a gastric lipoma is presented. This condition, where the stomach telescopes into the small intestine, was successfully diagnosed and treated.

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Gastroduodenal intussusception is a rare condition where the stomach or duodenum telescopes into itself.
Submucosal gastric lipomas are benign tumors that can occasionally cause gastrointestinal obstruction.

Observation:

A 48-year-old man presented with a three-year history of intermittent regurgitation and heartburn.
Imaging studies, including barium meal and CT scan, revealed a duodenal mass.
Surgical exploration identified gastric antrum intussusception into the duodenum.

Findings:

The intussusception was caused by a submucosal gastric lipoma located in the gastric antrum.
The lipoma served as the apex of the intussusception, leading to the telescoping of the gastric wall into the duodenum.

Implications:

This case highlights the importance of considering rare causes of gastrointestinal obstruction.
Submucosal gastric lipomas should be included in the differential diagnosis for intussusception.
Prompt surgical intervention is crucial for managing symptomatic gastroduodenal intussusception.