Euanorasetr Chakrapan, Suwanthanma Weerapat
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2011 Aug;94(8):1008-12.
Gastroduodenal intussusception is not a common clinical condition. It is usually caused by transpyloric prolapse of a benign gastric lesion into the duodenum. In the present report, the authors present an extremely rare case of gastroduodenal intussusception in which gastric carcinoma served as the lending point. Pre-operative diagnosis was made from endoscopy and biopsy. The patient was treated successfully by subtotal gastrectomy with D2 lymph node dissection. The clinical presentation, diagnosis, and management of this entity were discussed and the literature was reviewed. Both the condition itself and the leading tumor, gastric carcinoma, are extremely rare and to the authors' knowledge. This is the first report in Thailand.
胃十二指肠套叠并非常见的临床病症。它通常由良性胃部病变经幽门脱垂至十二指肠所致。在本报告中，作者呈现了一例极为罕见的胃十二指肠套叠病例，其中胃癌为套叠起始点。术前通过内镜检查及活检做出诊断。患者接受了D2淋巴结清扫的胃大部切除术并成功治愈。本文讨论了该病症的临床表现、诊断及治疗，并回顾了相关文献。该病症本身及主要肿瘤胃癌均极为罕见，据作者所知，这是泰国的首例报告。
