A Case of Gastro-Gastric Intussusception Secondary to Primary Gastric Lymphoma

• Published in: The Korean journal of gastroenterology Vol. 68; no. 1; p. 40
• Main Authors: Jo, Hyeong Ho, Kang, Sun Mi, Kim, Si Hye, Ra, Moni, Park, Byeong Kyu, Kwon, Joong Goo, Kim, Eun Young, Jung, Jin Tae, Kim, Ho Gak, Ryoo, Hun Mo, Kang, Ung Rae
• Format: Journal Article
• Language: Korean
• Published: Korea (South) 25.07.2016
• Subjects: Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols - therapeutic use; Endoscopy, Digestive System; Female; Humans; Intussusception - diagnosis; Intussusception - etiology; Lymphoma, Large B-Cell, Diffuse - complications; Lymphoma, Large B-Cell, Diffuse - diagnosis; Lymphoma, Large B-Cell, Diffuse - drug therapy; Stomach Diseases - diagnosis; Stomach Diseases - etiology; Stomach Neoplasms - complications; Stomach Neoplasms - diagnosis; Stomach Neoplasms - drug therapy; Tomography, X-Ray Computed; Stomach; Endoscopy; Primary gastric lymphoma; Intussusception
• ISSN: 1598-9992; 2233-6869
• DOI: 10.4166/kjg.2016.68.1.40

In adults, most intussusceptions develop from a lesion, usually a benign or malignant neoplasm, and can occur at any site in the gastrointestinal tract. Intussusception in the proximal gastrointestinal tract is uncommon, and gastro-gastric intussusception is extremely rare. We present a case of gastro-gastric intussusception secondary to a primary gastric lymphoma. An 82-year-old female patient presented with acute onset chest pain and vomiting. Abdominal CT revealed a gastro-gastric intussusception. We performed upper gastrointestinal endoscopy, revealing a large gastric mass invaginated into the gastric lumen and distorting the distal stomach. Uncomplicated gastric reposition was achieved with endoscopy of the distal stomach. Histological evaluation of the gastric mass revealed a diffuse large B cell lymphoma that was treated with chemotherapy.