Skip to main content
SpringerLink
Log in

Laparoscopic distal gastrectomy for gastroduodenal intussusception due to a benign gastric tumour

  • Case Report
  • Published:
Hellenic Journal of Surgery

Abstract

Background

Gastroduodenal intussusception is considered the rarest of all adult intussusceptions, for which nonlaparoscopic management is well documented. Laparoscopic management of gastroduodenal intussusception has only been reported once in the literature.

Case Report

We present a patient treated laparoscopically at our institute for gastroduodenal intussusception due to a benign gastric GIST. The patient was a 60-year-old female who presented with gastric outlet obstruction. Laparoscopy revealed gastroduodenal intussusception, for which partial gastrectomy was successfully performed. The total operating time was 135 minutes. She was followed up for 14 months, and was completely relieved of her symptoms. Histopathology showed spindle-cell GIST, and immunohistochemistry was positive for CD 117.

Conclusion

Gastroduodenal intussusception is an uncommon complication of benign gastric tumours. Even though wedge resection is adequate in most cases of GIST, the close proximity of the tumour to the pylorus and intussusception in our patient warranted partial gastrectomy which was achieved laparoscopically. Minimally invasive surgery is efficient in both the diagnosis and treatment of gastric GISTs, even in the presence of gastroduodenal intussusception.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Sankaranunni B, Ooi DS, Sircar T, et al. Gastric lipoma causing gastroduodenal intussusception. Int J Clin Pract 2001; 55:731–2

    CAS  PubMed  Google Scholar 

  2. Madiba TE, Thomson SR, Lazarus NG, et al. Gastroduodenal intussusception of a stromal gastric tumour. S Afr J Surg 1995; 33:19–20

    CAS  PubMed  Google Scholar 

  3. Yang J-H, Zhang M, Zhao Z-H, et al. Gastroduodenal intussusception due to gastric schwannoma treated by Billroth II distal gastrectomy: One case report. World J Gastroenterol. 2015; 21: 2225–8

    PubMed  PubMed Central  Google Scholar 

  4. Nakagawara M, Kajimura M, Hanai H, et al. Gastroduodenal intussusception secondary to a giant solitary gastric heterotopia: a case report. Gastrointest Endosc 2000; 52:568–70

    Article  CAS  PubMed  Google Scholar 

  5. Araki Y, Shiratsuchi M, Yasuda O, et al. Gastroduodenal intussusception secondary to a gastric leiomyoma resulting in an ulceration. Endoscopy 1999; 31:S23

    CAS  PubMed  Google Scholar 

  6. Gyedu A, Reich SB, Hoyte-Williams PE. Gastrointestinal stromal tumour presenting acutely as gastroduodenal intussusception. Acta Chir Belg 2011; 111:327–8

    CAS  PubMed  Google Scholar 

  7. Vinces FY, Ciacci J, Sperling DC, et al. Gastroduodenal intussusception secondary to a gastric lipoma. Can J Gastroenterol 2005; 19:107–8

    Article  PubMed  Google Scholar 

  8. Fletcher CD, Bermen JJ, Corless C, et al. Diagnosis of gastrointestinal stromal tumors; a consensus approach. Hum Pathol 2002; 33:459–65

    Article  PubMed  Google Scholar 

  9. Pidhoreceky I, Cheney RT, Kraybill WG, et al. Gastrointestinal stromal tumors; current diagnosis, biological behaviour, and management. Ann Surg Oncol 2000; 7:705–12

    Article  Google Scholar 

  10. Crowther KS, Wyld L, Yamani Q, et al. Case report: gastroduodenal in1ussusception of a gastrointestinal stromal tumour. Br J Radiol 2002; 75:987–9

    Article  CAS  PubMed  Google Scholar 

  11. Walsh RM, Heniford BT. Laparoendoscopic treatment of gastric stromal tumors. Semin Laparosc Surg 2001; 8:189–94

    Article  CAS  PubMed  Google Scholar 

  12. Rittenhouse DW, Lim PW, Shirley LA, et al. Gastroduodenal intussusception of a gastrointestinal stromal tumor (GIST): case report and review of the literature. Surg Laparosc Endosc Percutan Tech 2013; 23:e70–e73

    Article  PubMed  Google Scholar 

  13. Palanivelu C, Rangarajan M, Parthasarathi R, et al. Laparoscopic resection for benign tumors of the stomach. JSLS 2007; 11:81–6

    PubMed  PubMed Central  Google Scholar 

  14. Adjepong SE, Parameswaran R, Perry A, et al. Gastroduodenal intussusception due to gastrointestinal stromal tumor (GIST) treated by laparoscopic Billroth II distal gastrectomy. Surg Laparosc Endosc Percutan Tech 2006; 16:245–7

    Article  PubMed  Google Scholar 

  15. Kim DJ, Lee JH, Kim W. Gastroduodenal Intussusception Resulting from Large Hyperplastic Polyp. J Gastric Cancer. 2012; 12:201–4

    Article  PubMed  PubMed Central  Google Scholar 

  16. Matsui H, Uyama I, Fujita J, et al. Gastrointestinal stromal tumour of the stomach successfully treated by laparoscopic partial gastrectomy with jejunal interposition. Surg Laparosc Endosc Percutaneous Tech 2000; 10:239–42

    CAS  Google Scholar 

  17. Matthews BD, Walsh KW, Kercher RF. Laparoscopic vs. open resection of gastric stromal tumours. Surg Endosc 2002; 16:803–7

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. GEM Hospital & Postgraduate Institute, 45-A, Pankaja Mill Road, Coimbatore, India

    Chinnusamy Palanivelu, Muthukumaran Rangarajan & Shankar Annapoorni

  2. GEM Hospital & Postgraduate Institute, 45-A, Pankaja Mill Road, Coimbatore, 641045, India

    Chinnusamy Palanivelu

Authors
  1. Chinnusamy Palanivelu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Muthukumaran Rangarajan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shankar Annapoorni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chinnusamy Palanivelu.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Palanivelu, C., Rangarajan, M. & Annapoorni, S. Laparoscopic distal gastrectomy for gastroduodenal intussusception due to a benign gastric tumour. Hellenic J Surg 88, 135–138 (2016). https://doi.org/10.1007/s13126-016-0304-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13126-016-0304-z

Key words

Search

Navigation