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Retrograde Pylorogastric Intussusception-Case Report and Literature Review

Samantha Worth1, Zoey Morton1, Samuel Groot2

  • 1University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.

The American Surgeon
|May 31, 2023
PubMed

Insights

A 6-month-old infant experienced vomiting and feeding issues due to a gastric mass. Surgical intervention for pyloric obstruction caused by gastrostomy tube-induced pyloric intussusception resolved the condition.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Gastrostomy tubes are common in infants for feeding.
  • Complications, though rare, can occur with indwelling devices.

Approach:

  • A 6-month-old male presented with acute emesis and feeding intolerance.
  • Diagnostic imaging (ultrasound, GI series) and endoscopy identified retrograde pylorogastric intussusception.
  • Surgical management included gastrostomy removal and Heineke-Mikulicz pyloroplasty.

Key Points:

  • Gastrostomy button associated mass caused distal stomach obstruction.
  • Retrograde pylorogastric intussusception was diagnosed via endoscopy.
  • Surgical pyloroplasty successfully treated the intussusception and obstruction.

Conclusions:

  • Gastrostomy tube placement can precipitate rare complications like intussusception.
  • Prompt diagnosis and surgical intervention are crucial for favorable outcomes in pediatric gastric emergencies.
  • Heineke-Mikulicz pyloroplasty is an effective treatment for this specific complication.

Keywords:
pediatric surgerypylorogastric intussusception

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