Presentation
Acute abdominal pain.
Patient Data
There is intussusception of the whole segments of duodenum and its vasculatures through pyloric canal into gastric body and fundus forming bowel in bowel configuration mass with secondary intra and extrahepatic biliary duct dilatation.Associated small ascites is also detected. There are also multiple pre contrast hyperdense foci in the GB lumen (gall stones). A small solitary left renal cortical cyst is seen.
Case Discussion
Contrast enhanced abdominal CT scan shows a long segment bowel in bowel configuration mass formed by the whole segment duodenum protruded and retracted into gastric lumen through the pyloric canal with its vasculatures and mesenteric fat. The bowel loops are viable showing post contrast wall enhancement. There is also associated secondary biliary duct obstruction with dilated intra and extrahepatic biliary ducts.
Post laparotomy findings suggest long segment viable gastroduodenal intussusception which was reduced mechanically. Patient recovered completely and discharged from hospital after a week.
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