Endo-laparoscopic reduction and resection of gastroduodenal intussuception of gastrointestinal stromal tumor (GIST): a synchronous endoscopic and laparoscopic treatment

Surg Laparosc Endosc Percutan Tech. 2009 Jun;19(3):e100-3. doi: 10.1097/SLE.0b013e3181a03f07.

Abstract

Gastrointestinal stromal tumor (GIST) commonly occurs in the stomach. We would like to report an uncommon presentation of gastric GIST with gastroduodenal intussuception. A patient with known history of gastric GIST at fundus for 10 years presented to the casualty department with recurrent epigastric pain, deranged liver function, and hyperamylasemia. Computed tomography of the abdomen showed intussuception of the gastric GIST into duodenum. Emergency operation with synchronous endoscopic reduction and laparoscopic wedge resection was performed and patient had uneventful recovery. This simultaneous endoscopic and laparoscopic treatment should be considered for this rare complication of GIST.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Duodenal Diseases / diagnosis
  • Duodenal Diseases / etiology
  • Duodenal Diseases / surgery*
  • Endoscopy, Gastrointestinal / methods*
  • Female
  • Gastrointestinal Stromal Tumors / complications*
  • Gastrointestinal Stromal Tumors / diagnosis
  • Gastrointestinal Stromal Tumors / surgery
  • Humans
  • Intussusception / diagnosis
  • Intussusception / etiology
  • Intussusception / surgery*
  • Laparoscopy / methods*
  • Stomach Diseases / diagnosis
  • Stomach Diseases / etiology
  • Stomach Diseases / surgery*
  • Tomography, X-Ray Computed