= Abstract =
Gastroduodenal Intussusception due to Gastric Submucosal Hemangiomatosis
Soo-Jin-Na Choi, M.D., Sang-Young Chung, M.D., Shin-Kon Kim, M.D., Sang-Woo Jung, M.D.*
Division of Pediatric Surgery, Department of Surgery and Department of Patlwlogy*
Chonnam University Medical Sclwol, Kwangju, Korea
Gastroduodenal intussusception, an invagination of a part of the gastric wall through the pyloric canal into the duodenum is a rare condition. Gastroduodenal intussusception is caused by a mobile usually benign gastric tumor. However, gastroduodenal intussusception by gastric submucosal hemangiomatosis is not documented. We have managed a case of gastric submucosal tumor leading to gastroduodenal intussusception in 2 years and 10 months old boy. The tumor was 10 x 5 x 3 cm in size in posterior wall of gastric antrum. Laparotomy, manual reduction of the intussusception, and wedge resection of posterior gastric wall including the tumor were performed. Pathologic diagnosis was a submucosal hemangiomatosis.
Index Words: Gastroduodenal intussusception, Gastric submucosal hemanRiomatosis
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Fig. 1. Simple abdomen supine view, showing over- all paucity of gas except for a small amount in the stomach.
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Fig. 3. Intraoperative fmdings, revealing marked widening of the duodenum and invagination of the antrum and body of stomach into the duodenum (short arrow), and pyloric ring (long arrow).
Fig. 4. Gastrot?my fmdings. A large pedunculated submucosal mass (10 x 5 x 3 cm) arising from the posterior wall of the antrum is shown as the leading point of intussusception.
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