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Related Experiment Videos

Gastrogastric intussuscepting leiomyomas.

A Grundy, Z Rayter, A J Shorthouse

    Gastrointestinal Radiology
    |January 1, 1984
    PubMed
    Summary

    Gastrogastric intussusception of leiomyomas can present as a confusing finding on barium studies. This condition involves a gastric fundal mass telescoping into the antrum, sometimes intermittently observed during fluoroscopy.

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    Area of Science:

    • Gastroenterology
    • Radiology
    • Surgical Pathology

    Background:

    • Leiomyomas are the most common mesenchymal tumors of the stomach.
    • Gastrogastric intussusception, while rare, can occur when a gastric mass prolapses into another segment of the stomach.
    • Accurate diagnosis is crucial for appropriate management and to rule out malignancy.

    Observation:

    • Two cases of gastrogastric intussusception caused by gastric leiomyomas are described.
    • The intussusception involved a fundal mass prolapsing into the gastric antrum.
    • Intermittent intussusception was visualized on fluoroscopy in one patient.

    Findings:

    • Double-contrast barium studies can exhibit a confusing appearance due to the intussusception.
    • Radiographic findings may mimic other gastric pathologies, necessitating careful interpretation.
    • The leiomyoma acted as the lead point for the intussusception.

    Implications:

    • Awareness of this rare presentation is important for radiologists interpreting upper gastrointestinal barium studies.
    • Fluoroscopic evaluation can aid in diagnosing intermittent intussusception.
    • Definitive diagnosis and management typically require endoscopic visualization and/or surgical intervention.

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