Gastrogastric intussusception in the setting of a small bowel obstruction
Abstract Adult patients comprise 5% of all intussusceptions with 2 to 3 cases per million per year. Of those, only 10% of adult intussusceptions involve the stomach. Gastrogastric intussusceptions are most often associated with lead points caused by gastric neoplasms, with a few caused by hiatal her...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12719 |
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| author | John M. Bowling Paul W. Landis Thomas E. Herbener |
| author_facet | John M. Bowling Paul W. Landis Thomas E. Herbener |
| author_sort | John M. Bowling |
| collection | DOAJ |
| description | Abstract Adult patients comprise 5% of all intussusceptions with 2 to 3 cases per million per year. Of those, only 10% of adult intussusceptions involve the stomach. Gastrogastric intussusceptions are most often associated with lead points caused by gastric neoplasms, with a few caused by hiatal hernias or ascites. Unlike children, adult intussusceptions are rarely idiopathic. Herein, a case is presented of a 65‐year‐old male who was found to have a gastrogastric intussusception in the setting of a small bowel obstruction with no evidence of neoplasm confirmed by biopsy. The patient initially presented to the emergency department with nausea, emesis, and epigastric pain. Given that almost all reported cases have been associated with gastric neoplasms, this case shows an unusual phenomenon of gastrogastric intussusception that has not reported before. Furthermore, our case offers a different etiology of gastrogastric intussusception in adults other than being due to a gastric neoplasm. |
| format | Article |
| id | doaj-art-de75bafb3aad476597271b17d0d15b99 |
| institution | Kabale University |
| issn | 2688-1152 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-de75bafb3aad476597271b17d0d15b992025-08-20T03:48:37ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522022-04-0132n/an/a10.1002/emp2.12719Gastrogastric intussusception in the setting of a small bowel obstructionJohn M. Bowling0Paul W. Landis1Thomas E. Herbener2Department of Emergency Medicine Cleveland Clinic Akron General Akron Ohio USADepartment of Emergency Medicine Cleveland Clinic Akron General Akron Ohio USADepartment of Radiology Cleveland Clinic Akron General Akron Ohio USAAbstract Adult patients comprise 5% of all intussusceptions with 2 to 3 cases per million per year. Of those, only 10% of adult intussusceptions involve the stomach. Gastrogastric intussusceptions are most often associated with lead points caused by gastric neoplasms, with a few caused by hiatal hernias or ascites. Unlike children, adult intussusceptions are rarely idiopathic. Herein, a case is presented of a 65‐year‐old male who was found to have a gastrogastric intussusception in the setting of a small bowel obstruction with no evidence of neoplasm confirmed by biopsy. The patient initially presented to the emergency department with nausea, emesis, and epigastric pain. Given that almost all reported cases have been associated with gastric neoplasms, this case shows an unusual phenomenon of gastrogastric intussusception that has not reported before. Furthermore, our case offers a different etiology of gastrogastric intussusception in adults other than being due to a gastric neoplasm.https://doi.org/10.1002/emp2.12719gastrogastric intussusceptionsmall bowel obstruction |
| spellingShingle | John M. Bowling Paul W. Landis Thomas E. Herbener Gastrogastric intussusception in the setting of a small bowel obstruction Journal of the American College of Emergency Physicians Open gastrogastric intussusception small bowel obstruction |
| title | Gastrogastric intussusception in the setting of a small bowel obstruction |
| title_full | Gastrogastric intussusception in the setting of a small bowel obstruction |
| title_fullStr | Gastrogastric intussusception in the setting of a small bowel obstruction |
| title_full_unstemmed | Gastrogastric intussusception in the setting of a small bowel obstruction |
| title_short | Gastrogastric intussusception in the setting of a small bowel obstruction |
| title_sort | gastrogastric intussusception in the setting of a small bowel obstruction |
| topic | gastrogastric intussusception small bowel obstruction |
| url | https://doi.org/10.1002/emp2.12719 |
| work_keys_str_mv | AT johnmbowling gastrogastricintussusceptioninthesettingofasmallbowelobstruction AT paulwlandis gastrogastricintussusceptioninthesettingofasmallbowelobstruction AT thomaseherbener gastrogastricintussusceptioninthesettingofasmallbowelobstruction |