Presentation
Severe abdominal pain and post prandial vomiting
Patient Data
Dilated stomach and esophagus with telescoping of the the pylorus and 1st part of the duodenum into the 2nd part of the duodenum. No mass in the visualized esophagus, gastroesophageal junction or stomach. Mild ascites. No free air. No lymphadenopathy. Atherosclerotic disease and degenerative changes in the spine.
Case Discussion
The relatives declined surgery. An EGD done later showed gastric carcinoma at the pylorus.
Intussusception is the telescoping of a loop of bowel into another loop of bowel. In adults 90% of the time a lead point is present unlike in the case of children.
Gastroduodenal intussusception is a rare phenomenon and largely occurs as a result of a gastric lesion acting as the lead-point. Pancreatitis and biliary obstruction can result as complications due to compression of the ampulla of Vater or pancreatic head.
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