Gastroduodenal Intussusception Caused by a Peutz-Jeghers Polyp in a Young Child: A Case Report.
- Author:
Jae Eun ROH
1
;
Bum Sang CHO
;
Seung Young LEE
;
Min Hee JEON
;
Ji Hyuk LEE
;
Ho chang LEE
;
Ji Hae KOO
Author Information
1. Department of Radiology, College of Medicine and Medical Research Institute, Chungbuk National University, Korea. sircircle@hanmail.net
- Publication Type:Case Report
- Keywords:
USG;
Computed tomography (CT);
Stomach;
Intussusception;
Peutz-Jeghers polyp
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Adenoma;
Anemia;
Duodenum;
Gastrointestinal Stromal Tumors;
Hamartoma;
Intussusception;
Laparotomy;
Leiomyoma;
Lipoma;
Polyps;
Preschool Child;
Prolapse;
Stomach;
Vomiting
- From:Journal of the Korean Society of Medical Ultrasound
2010;29(3):189-192
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastroduodenal intussusception is a rare condition caused by the prolapse of a gastric tumor with subsequent invagination of a portion of the gastric wall into the duodenum. Various gastric lesions including adenoma, lipoma, leiomyoma, hamartoma, adenocarcinoma, gastrointestinal stromal tumor (GIST), and as in our case a Peutz-Jeghers polyp, can serve as a lead point of intussusception. Only three cases of gastroduodenal intussusception secondary to a Peutz-Jeghers polyp have been reported. We experienced a case of gastroduodenal intussusception in a 36-month-old boy who presented with intermittent nonbilious vomiting, abdominal pain, and anemia. An abdominal ultrasound and contrast enhanced CT scan showed gastrointestinal intussusception and a mass-like lesion in the second portion of duodenum. A laparotomy revealed a 7x8 cm sized mass at the gastric body, which was pathologically confirmed as a Peutz-Jeghers polyp.
