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. 2018 Dec;4(4):20180006.
doi: 10.1259/bjrcr.20180006. Epub 2018 Jul 10.

Gastrogastric intussusception in adults: a case report with review of the literature

Arash Behrooz  1 , Morgan Cleasby  2
Affiliations

Gastrogastric intussusception in adults: a case report with review of the literature

Arash Behrooz et al. BJR Case Rep. 2018 Dec.

Abstract

Intussusception of the gastrointestinal viscera is rarely encountered in adult patients and is frequently associated with a polypoidal lead point, which is often malignant. We would like to present the case of a 68-year-old male with a history of decompensated liver disease and multiple medical comorbidities, who was discovered to have an incidental gastrogastric intussusception on CT. No polypoidal lead point was seen and we believe this to be the first case of its kind to be described. We suggest that distortions in the patient's visceral and vascular anatomy and raised intra-abdominal pressure resulting from concomitant ascites, hiatus hernia, portal hypertension and oesophageal varices have provided an alternative mechanism for a gastrogastric intussusception to develop.

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Figures

Figure 1.
Figure 1.
CT abdomen and pelvis January 2015 demonstrating a normal appearing stomach.
Figure 2.
Figure 2.
CT abdomen and pelvis March 2017 demonstrating presence of ascites and hiatus hernia.
Figure 3.
Figure 3.
CT abdomen and pelvis March 2017 with evidence of ascites, gastrogastric intussusception and vascular pseudopedicle (white arrowhead).
Figure 4.
Figure 4.
Ultrasound  abdomen April 2017 demonstrating reversal of flow in the hepatic portal vein.
Figure 5.
Figure 5.
Oesophagogastroduodenoscopy late March 2017 demonstrating features consistent with portal vein hypertension and oesophageal varices.
See this image and copyright information in PMC

References

    1. Grosfeld JL. Intussusception then and now: a historical vignette. J Am Coll Surg 2005; 201: 830–3. doi: 10.1016/j.jamcollsurg.2005.04.016 - DOI - PubMed
    1. Davis CF, McCabe AJ, Raine PA. The ins and outs of intussusception: history and management over the past fifty years. J Pediatr Surg 2003; 38(7 Suppl): 60–4. doi: 10.1016/S0022-3468(03)00080-0 - DOI - PubMed
    1. Aref H, Nawawi A, Altaf A, Aljiffry M. Transient small bowel intussusception in an adult: case report with intraoperative video and literature review. BMC Surg 2015; 15: 36. doi: 10.1186/s12893-015-0020-6 - DOI - PMC - PubMed
    1. Lianos G, Xeropotamos N, Bali C, Baltoggiannis G, Ignatiadou E. Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir 2013; 34: 280–3. - PMC - PubMed
    1. Yalamarthi S, Smith RC. Adult intussusception: case reports and review of literature. Postgrad Med J 2005; 81: 174–7. doi: 10.1136/pgmj.2004.022749 - DOI - PMC - PubMed