Gastro-Intestinal Stromal Tumour presenting as Gastroduodenal Intussusception

A Disawal,A Hatgaonkar,J Rathod,K Taori,R Parate,S Mane

doi:10.3126/njr.v4i1.11573

Abstract

Gastrointestinal stromal tumours (GISTs), are relatively common tumours of the gastrointestinal tract, most commonly found in the stomach. Previously they were termed as leiomyomas and leiomyosarcomas. Clinically, they are asymptomatic but may cause abdominal pain or bleeding from ulceration of the overlying mucosa. We present a case of gastroduodenal intussusception secondary to large gastric stromal tumour in a 50 year old male, which presented with intermittent abdominal pain and gastric outlet obstruction. Pre-operative diagnosis was made on abdominal CT and confirmed at laparotomy. DOI: http://dx.doi.org/10.3126/njr.v4i1.11573 Nepalese Journal of Radiology, Vol.4(1) 2014: 71-75

Highlights

Gastrointestinal stromal tumours (GISTs), are relatively common tumours of the gastrointestinal tract, most commonly found in the stomach
Ulceration of the apical mucosa may occur resulting in abdominal pain and bleeding, which is present in up to 50% of benign tumours and 85% of malignant tumours.[3]
Taori K et al Gastro-Intestinal Stromal Tumour presenting as Gastroduodenal Intussusception of the gastric wall into the duodenum.[5]

Summary

Introduction

Gastroduodenal intussusception is rare complication of GISTs & is caused by prolapse of the tumour and subsequent invagination of a portion or the full thickness. Taori K et al Gastro-Intestinal Stromal Tumour presenting as Gastroduodenal Intussusception of the gastric wall into the duodenum.[5] Usually patient complains of intermittent vague epigastric pain. Very rarely it can present as an acute gastrointestinal emergency with severe sudden pain, shock and intractable vomiting. A 50 years old male presented with history of recurrent episodes of indigestion and recent history of intermittent severe epigastric pain, premature fullness and nonbile stained vomiting and undigested food. Between these episodes the patient was well.

Findings

Discussion

Conclusion