AI Article Synopsis
- Intussusception in the proximal bowel is very rare, especially gastro-gastric intussusception, which is linked to underlying conditions like a Gastrointestinal Stromal Tumor (GIST).
- A 36-year-old male with acute abdominal pain was diagnosed with gastro-gastric intussusception during surgery, successfully treated with reduction and gastrectomy.
- Timely diagnosis and surgery are crucial for this rare condition to prevent serious complications.
Article Abstract
Introduction And Importance: Intussusception in the proximal bowel is extremely rare, with only a few reported cases of gastroduodenal intussusception (GDI). Gastrogastric intussusception is the rarest form of intussusception in adults. Here, we present an exceptionally rare case of gastro-gastric intussusception caused by a gastric Gastrointestinal Stromal Tumor (GIST).
Case Presentation: A 36-year-old male presented with acute abdominal pain, suggestive of intussusception. The preoperative evaluation was unable to pinpoint the exact location or cause of the intussusception.
Clinical Discussion: Intraoperative diagnosis of gastro-gastric intussusception was made, and the patient was treated with a gentle reduction of the intussusception, followed by a distal gastrectomy with Billroth I anastomosis. He was relieved of his symptoms and has been recurrence-free for the past two years.
Conclusions: Gastro-gastric intussusception is an exceedingly rare type of foregut intussusception, which presents with non-specific clinical presentation and commonly occurs in the presence of an underlying pathology. A delay in diagnosis and treatment may be fatal, so a high index of suspicion and early surgical management is paramount.
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| http://dx.doi.org/10.1016/j.ijscr.2024.110711 | DOI Listing |
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