Jejunal intussusception of a gastric lipoma: a review of literature.
Gastrointestinal intussusception is an uncommon condition caused by a pendunculated, gastric tumor being forced through the pyloric sphincter and into the duodenum. An extremely rare case of gastrojejunal intussusception caused by a giant gastric lipoma is described in this article. The patient presented with anemia and weight loss. Initial gastroduodenal endoscopy failed to establish the diagnosis but abdominal ultrasound and computed tomography revealed signs of intussusception possibly associated with a lipoma of the small bowel. At laparotomy a pendunculated, submucosal, gastric lipoma, measuring 10 x 5 cm was found to have been intussuscepted into the jejunum. It was reduced and removed through a gastrotomy. Recovery was uneventful.
Mouës
C M
CM
Department of Surgery, Spaarne Hospital, Haarlem, The Netherlands. cmoues@hotmail.com
Steenvoorde
P
P
Viersma
J H
JH
van Groningen
K
K
de Bruïne
J F
JF
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008067:Lipoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D018570:Risk Assessment; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography