title: [Invagination of a gastric leiomyoma causing duodenal subocclusion and cholestasis].
abstract: The case is reported of a 78 year old female admitted to our Department with symptoms compatible with intestinal obstruction and melena. Upper gastrointestinal x-ray examination and endoscopy did not lead to a precise diagnosis. On the contrary, double contrast x-ray examination revealed the presence of a probably benign gastric tumour with gastroduodenal intussusception. Cholestasis was also present, as suggested by elevated serum conjugated bilirubin levels and by intravenous cholangiography. These findings were confirmed during surgical operation; a partial gastrectomy with gastroentero anastomosis was performed; histologic examination showed that the tumour was a gastric leiomyoma. All the symptoms disappeared quickly and the patient is still in good health after 2 years.
mesh_terms: D000368:Aged; D002779:Cholestasis / Q000209:etiology*; D004380:Duodenal Obstruction / Q000209:etiology*; D004945:Esophagoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007443:Intussusception / Q000150:complications*; D007889:Leiomyoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D013274:Stomach Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
vernacular_title: Invaginazione di leiomioma gastrico causante subocclusione duodenale e stasi biliare.