Jo Hyeong Ho, Kang Sun Mi, Kim Si Hye, Ra Moni, Park Byeong Kyu, Kwon Joong Goo, Kim Eun Young, Jung Jin Tae, Kim Ho Gak, Ryoo Hun Mo, Kang Ung Rae
Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
Department of Radiology, Catholic University of Daegu School of Medicine, Daegu, Korea.
Korean J Gastroenterol. 2016 Jul 25;68(1):40-4. doi: 10.4166/kjg.2016.68.1.40.
In adults, most intussusceptions develop from a lesion, usually a benign or malignant neoplasm, and can occur at any site in the gastrointestinal tract. Intussusception in the proximal gastrointestinal tract is uncommon, and gastro-gastric intussusception is extremely rare. We present a case of gastro-gastric intussusception secondary to a primary gastric lymphoma. An 82-year-old female patient presented with acute onset chest pain and vomiting. Abdominal CT revealed a gastro-gastric intussusception. We performed upper gastrointestinal endoscopy, revealing a large gastric mass invaginated into the gastric lumen and distorting the distal stomach. Uncomplicated gastric reposition was achieved with endoscopy of the distal stomach. Histological evaluation of the gastric mass revealed a diffuse large B cell lymphoma that was treated with chemotherapy.
在成人中,大多数肠套叠由病变引起,通常是良性或恶性肿瘤,可发生于胃肠道的任何部位。近端胃肠道的肠套叠并不常见,胃-胃型肠套叠极为罕见。我们报告一例继发于原发性胃淋巴瘤的胃-胃型肠套叠病例。一名82岁女性患者因急性胸痛和呕吐就诊。腹部CT显示胃-胃型肠套叠。我们进行了上消化道内镜检查,发现一个大的胃肿物套入胃腔并使远端胃变形。通过远端胃内镜检查成功实现了无并发症的胃复位。胃肿物的组织学评估显示为弥漫性大B细胞淋巴瘤,患者接受了化疗。