J Korean Soc Radiol.  2011 Apr;64(4):361-364. 10.3348/jksr.2011.64.4.361.

Gastritis Cystica Polyposa with Gastroduodenal Intussuception: A Case Report

• Kwak SH
• Bae IH
• Park KS
• Lee SY
• Jeon MH
• Cho BS
• Kang MH
• Ryu DH
• Lee HC

• KMID: 1443539
• DOI: http://doi.org/10.3348/jksr.2011.64.4.361

Abstract

Gastritis cystica polyposa is an uncommon benign lesion that normally occurs on the gastric side of a gastroenterostomy site but is rarely found in patients without a prior history of stomach surgery. We report a case of a 41-year-old woman with gastrodeuodenal intussusception due to gastritis cystica polyposa that developed in an unoperated stomach. CT revealed gastroduodenal intussusception and a cystic and solid mass with fat density in the second portion of the duodenum. Surgery and a pathologic examination confirmed gastritis cystica polyposa.

MeSH Terms

Adult
Duodenum
Female
Gastric Mucosa
Gastritis
Gastroenterostomy
Humans
Intussusception
Stomach

Figure

• 

  Fig. 1 A 41-year-old woman with gastritis cystica polyposa. A. Axial image of contrast enhanced abdomen CT shows gastroduodenal intussuception (arrow). B. Heterogeneous enhancing mass (arrow) is in the second portion of duodenum. Note the non-enhancing low attenuation portion (arrowhead) located in the distal portion of intussusception suggesting omental fat and cystic components. C. Endoscopic view of the stomach shows that the distal portion of gastric antrum is intussuscepted through pyloric canal. D. Post-reduction view shows a lobulated, polypoid mass, which is fixed at the lesser curvature side of the stomach by a stalk. E. Gross photography shows a polypoid mass with submucosal stroma and herniated yellowish omental fat. F. Microscopically, polypoid mass is composed of variable-sized cysts located in submucosa and mucosa (H & E staining, ×40).

Reference

1. Littler ER, Gleibermann E. Gastritis cystica polyposa. Cancer. 1972; 29:205–209.

2. Ozenç AM, Ruacan S, Aran O. Gastritis cystica polyposa. Arch Surg. 1988; 123:372–373.

3. Shum JS, Lo SS, Ka SY, Yeung CW, Ho JT. Gastroduodenal intussusception. Abdom Imaging. 2007; 32:698–700.

4. Son JI, Lee JH, Lee SI, Lee JP, Song KS, Park JA, et al. A Case of Gastroduodenal Intussusception Secondary to Gastric Carcinoid Tumor. Korean J Gastroenterol. 2001; 38:288–291.

5. Choi SH, Han JK, Kim SH, Lee JM, Lee KH, Kim YJ, et al. Intussusception in adults: from stomach to rectum. AJR Am J Roentgenol. 2004; 183:691–698.

6. Park JS, Myung SJ, Jung HY, Yang SK, Hong WS, Kim JH, et al. Endoscopic treatment of gastritis cystica polyposa found in an unoperated stomach. Gastrointest Endosc. 2001; 54:101–103.

7. Wu MT, Pan HB, Lai PH, Chang JM, Tsai SH, Wu CW. CT of gastritis cystica polyposa. Abdom Imaging. 1994; 19:8–10.

8. Park CH, Park JM, Jung CK, Kim DB, Kang SH, Lee SW, et al. Early gastric cancer associated with gastritis cystica polyposa in the unoperated stomach treated by endoscopic submucosal dissection. Gastrointest Endosc. 2009; 69:E47–E50.

9. Hirasaki S, Tanimizu M, Tsubouchi E, Nasu J, Masumoto T. Gastritis cystica polyposa concomitant with gastric inflammatory fibroid polyp occurring in an unoperated stomach. Intern Med. 2005; 44:46–49.

10. Tuncer K, Alkanat M, Musoglu A, Aydin A. Gastritis cystica polyposa found in an unoperated stomach: an unusual case treated by endoscopic polypectomy. Endoscopy. 2003; 35:882.