Getahun Amsalu Molla, Kedimu Mulugeta Wondmu, Jember Tsion Dessalegn
Department of Surgery, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor 6300, Ethiopia.
Department of Surgery, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor 6300, Ethiopia.
Int J Surg Case Rep. 2025 Jan;126:110711. doi: 10.1016/j.ijscr.2024.110711. Epub 2024 Dec 1.
Intussusception in the proximal bowel is extremely rare, with only a few reported cases of gastroduodenal intussusception (GDI). Gastrogastric intussusception is the rarest form of intussusception in adults. Here, we present an exceptionally rare case of gastro-gastric intussusception caused by a gastric Gastrointestinal Stromal Tumor (GIST).
A 36-year-old male presented with acute abdominal pain, suggestive of intussusception. The preoperative evaluation was unable to pinpoint the exact location or cause of the intussusception.
Intraoperative diagnosis of gastro-gastric intussusception was made, and the patient was treated with a gentle reduction of the intussusception, followed by a distal gastrectomy with Billroth I anastomosis. He was relieved of his symptoms and has been recurrence-free for the past two years.
Gastro-gastric intussusception is an exceedingly rare type of foregut intussusception, which presents with non-specific clinical presentation and commonly occurs in the presence of an underlying pathology. A delay in diagnosis and treatment may be fatal, so a high index of suspicion and early surgical management is paramount.
近端肠套叠极为罕见，仅有少数胃十二指肠套叠（GDI）的病例报道。胃胃套叠是成人中最罕见的肠套叠形式。在此，我们报告一例由胃胃肠道间质瘤（GIST）引起的极为罕见的胃胃套叠病例。
一名36岁男性因急性腹痛就诊，提示肠套叠。术前评估无法确定肠套叠的确切位置或病因。
术中诊断为胃胃套叠，对患者进行了轻柔的肠套叠复位治疗，随后行毕Ⅰ式远端胃切除术。患者症状缓解，在过去两年中无复发。
胃胃套叠是一种极其罕见的前肠套叠类型，临床表现不具特异性，通常在存在潜在病变的情况下发生。诊断和治疗的延迟可能是致命的，因此高度的怀疑指数和早期手术治疗至关重要。
