Presentation
Nausea and vomiting after eating or drinking, and some epigastric pain for 10 days.
Patient Data
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During the initial ultrasound examination was revealed an intussusception of the distal end of the stomach. In the intussusceptum also was observed an oval cystic lesion, with some polypoid projections inside. The patient was referred for a CT scan for further evaluation.
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The CT series show an intussusception of the pylorus and antrum of the stomach into the proximal duodenum. In the intussusceptum, is observed an oval predominantly cystic lesion (tumor) with moderately enhancing soft tissue components in the portal venous phase.
Additional findings: bilateral renal parapelvic cysts, thickening of the endometrium due to the polypoid masses, Bochdalek hernia.
Case Discussion
The patient proceeded to gastrectomy and hysterectomy, and the diagnosis was confirmed.
Gastroduodenal intussusception in adults is very rare and generally occurs due to neoplasms. The most common clinical presentations are abdominal discomfort, epigastric or chest pain, nausea, vomiting and a palpable mass.
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