|
Gastroduodenal Intussusception Caused by a Peutz-
Jeghers Polyp in a Young Child: A Case Report |
|
Jae Eun Roh, MD1 Bum Sang Cho, MD1, Seung Young Lee, MD1, Min Hee Jeon, MD1, Ji Hyuk Lee, MD2, Ho-chang Lee, MD3, Ji Hae Koo, MD3 |
|
1Department of Radiology, College of Medicine and Medical Research Institute, Chungbuk National University
2Department of Pediatrics, College of Medicine and Medical Research Institute, Chungbuk National University
3Department of Pathology, College of Medicine and Medical Research Institute, Chungbuk National University |
|
Gastroduodenal intussusception is a rare condition caused by the prolapse of a
gastric tumor with subsequent invagination of a portion of the gastric wall into the duodenum.
Various gastric lesions including adenoma, lipoma, leiomyoma, hamartoma,
adenocarcinoma, gastrointestinal stromal tumor (GIST), and as in our case a Peutz-
Jeghers polyp, can serve as a lead point of intussusception. Only three cases of gastroduodenal
intussusception secondary to a Peutz-Jeghers polyp have been reported.
We experienced a case of gastroduodenal intussusception in a 36-month-old boy who
presented with intermittent nonbilious vomiting, abdominal pain, and anemia. An
abdominal ultrasound and contrast enhanced CT scan showed gastrointestinal intussusception
and a mass-like lesion in the second portion of duodenum. A laparotomy
revealed a 7×8 cm sized mass at the gastric body, which was pathologically confirmed
as a Peutz-Jeghers polyp. |
|
Keyword : USG; Computed tomography (CT); Stomach; Intussusception; |
|
pdf파일 : 189-192노재은.pdf
|
|