Epigastric discomfort in a 91-year-old woman

Correspondence to Dr Shigetsugu Takano, General Surgery, Chiba University, Chiba 260-8670, Japan; stakano@faculty.chiba-u.jp Clinical presentation A 91-year-old woman presented to our hospital with back pain and upper abdominal discomfort. Adult intussusception is a rare condition, with an incidence...

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Bibliographic Details
Published in:Frontline gastroenterology 2021-11, Vol.12 (6), p.537-538
Main Authors: Takano, Shigetsugu, Suzuki, Akihiro, Masuya, Yoshio, Suzuki, Hiroshi, Ohtsuka, Masayuki
Format: Article
Language:English
Subjects:
Abdomen
Adults
Edema
Education
Endoscopy
Intestinal obstruction
Stomach
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Summary:Correspondence to Dr Shigetsugu Takano, General Surgery, Chiba University, Chiba 260-8670, Japan; stakano@faculty.chiba-u.jp Clinical presentation A 91-year-old woman presented to our hospital with back pain and upper abdominal discomfort. Adult intussusception is a rare condition, with an incidence of 2–3 cases/1 000 000 population per year1; gastroduodenal intussusception accounts for approximately 10% of all adult intussusception cases per year (2–3/10 000 000).2 In general, a large polyp or tumour of the stomach acts as the head of the invagination and causes the gastric mucosa to protrude into the antrum of the stomach or duodenum. The image of the invagination was target-shaped, or ‘bull’s-eye’, with concentric circles on a CT scan, a diagnosis of gastric intussusception was made.4 The patient has since been followed for 2 years with no recurrence.
ISSN:2041-4137
2041-4145
DOI:10.1136/flgastro-2020-101578