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Journal of Korean Society of Ultrasound in Medicine 2010 ; 29 (3) : p.189-192

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
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