Chan Christina Tin Yan, Wong Simon Kin Hung, Ping Tai Yuk, Li Michael Ka Wah
Division of Upper GI Surgery, Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Surg Laparosc Endosc Percutan Tech. 2009 Jun;19(3):e100-3. doi: 10.1097/SLE.0b013e3181a03f07.
Gastrointestinal stromal tumor (GIST) commonly occurs in the stomach. We would like to report an uncommon presentation of gastric GIST with gastroduodenal intussuception. A patient with known history of gastric GIST at fundus for 10 years presented to the casualty department with recurrent epigastric pain, deranged liver function, and hyperamylasemia. Computed tomography of the abdomen showed intussuception of the gastric GIST into duodenum. Emergency operation with synchronous endoscopic reduction and laparoscopic wedge resection was performed and patient had uneventful recovery. This simultaneous endoscopic and laparoscopic treatment should be considered for this rare complication of GIST.
胃肠道间质瘤（GIST）常见于胃部。我们想要报告一例胃GIST合并胃十二指肠套叠的罕见表现。一名有胃底GIST病史10年的患者因反复上腹部疼痛、肝功能紊乱和高淀粉酶血症就诊于急诊科。腹部计算机断层扫描显示胃GIST套入十二指肠。进行了急诊手术，同时进行内镜复位和腹腔镜楔形切除术，患者恢复顺利。对于GIST的这种罕见并发症，应考虑同时进行内镜和腹腔镜治疗。
