Skip to main content
SpringerLink
Log in

Acute pancreatitis from intussusception of a gastric polyp in a patient with Gardner's syndrome

  • Case Report
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Summary

Gastric polyps in Gardner's syndrome are usually benign small fundic gland neoplasms with little clinical significance. We report a case of gastroduodenal intussusception secondary to a large benign gastric polyp in a 44-year-old woman with Gardner's syndrome who presented with acute pancreatitis. The intussuscepted polyp caused obstruction of the ampulla of Vater with subsequent acute pancreatitis.

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. Watanabe H, Enjoji M, Yao T, Ohsato K: Gastric lesions in familial adenomatosis coli. Hum Pathol 9:269–283, 1978

    Google Scholar 

  2. Jarvinen H, Nyberg M, Peltokallio P: Upper gastrointestinal tract polyps in familial adenomatosis coli, Gut 24:333–339, 1983

    Google Scholar 

  3. Sener SF, Miller HH, DeCosse JJ: The spectrum of polyposis. Surg Gynecol Obstet 159:525–532, 1984

    Google Scholar 

  4. Kurtz RC, Sternberg SS, Miller HH, DeCosse JJ: Upper gastrointestinal neoplasia in familial polyposis. Dig Dis Sci 32:459–465, 1987

    Google Scholar 

  5. Burt RW, Berenson MM, Lee RG, Tolman KG, Freston JW, Gardner EJ: Upper gastrointestinal polyps in Gardner's syndrome. Gastroenterology 86:295–301, 1984

    Google Scholar 

  6. Sarre RG, Frost AG, Jagelman DG, Petras RE, Sivak MV, McGannon E: Gastric and duodenal polyps in familial adenomatous polyposis: A prospective study of the nature and prevalence of upper gastrointestinal polyps. Gut 28:306–314, 1987

    Google Scholar 

  7. Stevenson JK, Reid BJ: Unfamiliar aspects of familial polyposis coli. Am J Surg 152:81–86, 1986

    Google Scholar 

  8. Coffey RJ, Knight CD, van Heerden JA, Weiland LH: Gastric adenocarcinoma complicating Gardner's syndrome in a North American woman. Gastroenterology 88:1263–1266, 1985

    Google Scholar 

  9. Burt RW, Rikkers LF, Gardner EJ, Lee RG, Tolman KG: Villous adenoma of the duodenal papilla presenting as necrotizing pancreatitis in a patient with Gardner's syndrome. Gastroenterology 92:532–535, 1987

    Google Scholar 

  10. Guzzardo G, Kleinman MS, Krackov JH, Schwartz SI: Recurrent acute pancreatitis caused by ampullary villous adenoma. J Clin Gastroenterol 12:200–202, 1990

    Google Scholar 

  11. Reynolds R, Lloyd DA, Sweney JP, Stamm B, Slinger RP: Villous adenoma of the duodenum presenting as acute pancreatitis. J Clin Gastroenterol 4:533–536, 1982

    Google Scholar 

  12. White SH, Nazarian NA, McEwen Smith A: Periampullary adenoma causing pancreatitis. Br Med J 283:527, 1981

    Google Scholar 

  13. Berk T, Friedman LS, Goldstein SD, Marks GP, Rosato FE: Relapsing acute pancreatitis as the presenting manifestation of an ampullary neoplasm in a patient with familial polyposis coli. Am J Gastroenterol 80:627–629, 1985

    Google Scholar 

  14. Ong NT, Beasley SW: The leadpoint in intussusception. J Pediatr Surg 25:640–643, 1990

    Google Scholar 

  15. Olsen AK, Bo O: Intussusception as a complication of partial gastrectomy. Acta Chir Scand 145:199–201, 1978

    Google Scholar 

  16. Ready AR, Downing R, Black J: Elevated serum amylase in association with jejunogastric intussusception. Br J Surg 71: 844, 1984

    Google Scholar 

  17. Galea MH, Mayell MJ: Gastroduodenal mucosal intussusception causing gastric outlet obstruction: A complication of gastrostomy tubes. J Pediatr Surg 23:980–981, 1988

    Google Scholar 

  18. Kleinhaus U, Weich YL, Maoz S: Gastroduodenal intussusception secondary to prolapsing gastric tumors. Gastrointest Radiol 11:229–232, 1986

    Google Scholar 

  19. Lichtman S, Hayes G, Stringer DA, Moore D, Blair G, Smith C, Durie PR, Filler R: Chronic intussusception due to antral myoepithelioma. J Pediatr Surg 21:955–956, 1986

    Google Scholar 

  20. Daniel ES, Ludwig SL, Lewin KJ, Ruprecht RM, Rajacich GM, Schwabe AD: The Cronkite-Canada syndrome: An analysis of clinical and pathologic features and therapy in 55 patients. Medicine 61:293–309, 1982

    Google Scholar 

  21. Tovar JA, Eizaguirre I, Jimenez J: Peutz-Jeghers syndrome in children: Report of two cases and review of the literature. J Pediatr Surg 18:1–6, 1983

    Google Scholar 

  22. Eagel BA, Zentler-Munro P, Smith I: Mesenteric desmoid tumors in Gardner's syndrome—review of medical treatments. Postgrad Med J 65:497–501, 1989

    Google Scholar 

  23. Arvanitis ML, Jagelman DG, Fazio VW, Lavery IC, McGannon E: Mortality in patients with familial adenomatous polyposis. Dis Colon Rectum 33:639–642, 1990

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gastroenterology Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10021, New York, New York

    Lawrence L. Herman MD, R. C. Kurtz MD, Murray F. Brennan MD &  Moshe Shike MD

  2. Department of Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10021, New York, New York

    Lawrence L. Herman MD, R. C. Kurtz MD, Murray F. Brennan MD &  Moshe Shike MD

  3. Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10021, New York, New York

    Lawrence L. Herman MD, R. C. Kurtz MD, Murray F. Brennan MD &  Moshe Shike MD

Authors
  1. Lawrence L. Herman MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. C. Kurtz MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Murray F. Brennan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Moshe Shike MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Herman, L.L., Kurtz, R.C., Brennan, M.F. et al. Acute pancreatitis from intussusception of a gastric polyp in a patient with Gardner's syndrome. Digest Dis Sci 37, 955–960 (1992). https://doi.org/10.1007/BF01300398

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01300398

Key words

Search

Navigation