成人胃-胃肠套叠；一份病例报告。

IF 0.6 Q4 SURGERY

International Journal of Surgery Case Reports Pub Date : 2025-01-01 DOI:10.1016/j.ijscr.2024.110711

Amsalu Molla Getahun , Mulugeta Wondmu Kedimu , Tsion Dessalegn Jember

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引用次数: 0

摘要

简介及重要性：肠近端肠套叠极为罕见，只有少数胃十二指肠肠套叠（GDI）的病例报道。胃-胃肠套叠是成人最罕见的肠套叠。在此，我们报告一例由胃肠道间质瘤（GIST）引起的胃-胃肠套叠的罕见病例。病例介绍：一名36岁男性，表现为急性腹痛，提示肠套叠。术前评估无法确定肠套叠的确切位置或原因。临床讨论：术中诊断为胃-胃肠套叠，对患者进行了轻微的肠套叠复位治疗，随后进行了远端胃切除术并进行了Billroth I吻合术。他的症状减轻了，过去两年没有复发。结论：胃-胃肠套叠是一种极为罕见的前肠肠套叠类型，其临床表现无特异性，通常在存在基础病理的情况下发生。诊断和治疗的延误可能是致命的，因此高度怀疑和早期手术治疗是至关重要的。

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Adult gastro-gastric intussusception; a case report

Introduction and importance

Intussusception in the proximal bowel is extremely rare, with only a few reported cases of gastroduodenal intussusception (GDI). Gastrogastric intussusception is the rarest form of intussusception in adults. Here, we present an exceptionally rare case of gastro-gastric intussusception caused by a gastric Gastrointestinal Stromal Tumor (GIST).

Case presentation

A 36-year-old male presented with acute abdominal pain, suggestive of intussusception. The preoperative evaluation was unable to pinpoint the exact location or cause of the intussusception.

Clinical discussion

Intraoperative diagnosis of gastro-gastric intussusception was made, and the patient was treated with a gentle reduction of the intussusception, followed by a distal gastrectomy with Billroth I anastomosis. He was relieved of his symptoms and has been recurrence-free for the past two years.

Conclusions

Gastro-gastric intussusception is an exceedingly rare type of foregut intussusception, which presents with non-specific clinical presentation and commonly occurs in the presence of an underlying pathology. A delay in diagnosis and treatment may be fatal, so a high index of suspicion and early surgical management is paramount.

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