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Published on: August 9, 2016
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.
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.
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