Al-Roubaie Aymen, Withanage Indrajith
Geradlton Regional Hospital, Western Australia, 6530, Australia.
J Surg Case Rep. 2022 May 18;2022(5):rjac232. doi: 10.1093/jscr/rjac232. eCollection 2022 May.
Gastroduodenal intussusception is extremely rare and usually symptomatic in adults. Authors here report a case of a 99-year-old female with a gastroduodenal intussusception with no obstructive signs and symptoms or an obvious leading point showed on imaging modality. The index case presented with a three-day history of upper abdominal pain radiated to the back and right shoulder. Examination was unremarkable except for mild tenderness in the epigastric and right hypochondrial areas. A diagnosis of a small gastroduodenal intussusception was made by abdominal CT scan. The patient and family refused gastroscopy. Therefore, a conservative approach was followed, and the patient was discharged home on analgesia after two days of admission in the surgical ward.
胃十二指肠套叠极为罕见，在成人中通常有症状表现。本文作者报告了一例99岁女性胃十二指肠套叠病例，该病例无梗阻体征和症状，影像学检查也未显示明显的套叠起始点。该病例表现为上腹部疼痛并向后背和右肩部放射，病程三天。检查除上腹部和右季肋区有轻度压痛外，无其他异常。腹部CT扫描诊断为小型胃十二指肠套叠。患者及其家属拒绝接受胃镜检查。因此，采取了保守治疗方法，患者在外科病房住院两天后，在使用镇痛药物的情况下出院回家。
