Gastroduodenal Intussusception with a Gastric Gastrointestinal Stromal Tumor Treated by Endoscopic Submucosal Dissection

A 95-year-old Japanese woman presented to our hospital with intermittent vomiting and several episodes of melena. Abdominal computed tomography revealed intussusception of the gastric tumor into the duodenum. After endoscopic reduction, endoscopic ultrasonography identified a hypoechogenic lesion li...

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Bibliographic Details
Published in:Internal Medicine 2017/06/15, Vol.56(12), pp.1515-1519
Main Authors: Yamauchi, Kenji, Iwamuro, Masaya, Ishii, Eiji, Narita, Makoto, Hirata, Nobuto, Okada, Hiroyuki
Format: Article
Language:English
Subjects:
Aged, 80 and over
ball valve syndrome
Case Report
Computed tomography
Dissection
Duodenum
Endoscopic Mucosal Resection - methods
endoscopic submucosal dissection
Endoscopy
Endosonography
Female
gastroduodenal intussusception
gastrointestinal stromal tumor
Gastrointestinal Stromal Tumors - pathology
Gastrointestinal Stromal Tumors - surgery
Humans
Internal medicine
Intussusception
Intussusception - surgery
Melena
Stomach Neoplasms - pathology
Tomography, X-Ray Computed
Ultrasound
Vomiting
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Description
Summary:A 95-year-old Japanese woman presented to our hospital with intermittent vomiting and several episodes of melena. Abdominal computed tomography revealed intussusception of the gastric tumor into the duodenum. After endoscopic reduction, endoscopic ultrasonography identified a hypoechogenic lesion limited to the submucosal layer. Endoscopic resection was performed as a localized treatment for the prevention of recurrent gastroduodenal intussusception. To our knowledge, there have been no other reports describing a gastric gastrointestinal stromal tumor presenting with gastroduodenal intussusception and treated using an endoscopic submucosal dissection technique.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.56.8160