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Nonobstructive gastroduodenal intussusception characterized by severe anemia: a case report
Benlei Zhu1, Congming Wang1, Jingwei Fu1
1Department of Gastrointestinal Surgery, Jining No. 1 People's Hospital, Jining, Shandong Province, China.
The Journal of International Medical Research
|February 8, 2025
Summary
Gastroduodenal intussusception, a rare adult condition, can be caused by stomach tumors. This case highlights a gastric leiomyoma presenting as severe anemia, not typical obstruction symptoms.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gastroduodenal intussusception is uncommon in adults.
- It is frequently associated with pedunculated submucosal gastric tumors.
- Clinical signs often mimic gastric outlet obstruction.
Purpose of the Study:
- To report a rare case of gastroduodenal intussusception.
- To describe an unusual presentation of severe anemia without gastric outlet obstruction symptoms.
- To detail the diagnostic and pathological findings.
Main Methods:
- Esophagogastroduodenoscopy (EGD) for diagnosis.
- Abdominal computed tomography (CT) for imaging.
- Surgical confirmation and histopathological examination.
Main Results:
- A 38-year-old female presented with severe anemia.
- Gastroduodenal intussusception was diagnosed preoperatively via EGD and CT.
- Postoperative analysis confirmed a gastric leiomyoma.
Conclusions:
- Gastric leiomyomas can cause gastroduodenal intussusception.
- Severe anemia can be an atypical presenting symptom.
- Multimodality imaging and pathology are crucial for diagnosis.
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