J Gastric Cancer.  2016 Mar;16(1):54-57. 10.5230/jgc.2016.16.1.54.

Acute Pancreatitis and Gastroduodenal Intussusception Induced by an Underlying Gastric Gastrointestinal Stromal Tumor: A Case Report

• Yildiz MS
• DoÄŸan A
• Koparan IH
• Adin ME

• KMID: 2372554
• DOI: http://doi.org/10.5230/jgc.2016.16.1.54

Abstract

Gastrointestinal stromal tumors (GISTs) are rare tumors of the gastrointestinal system and comprise only 1% to 3% of all gastrointestinal tract tumors, with the majority of them arising in the stomach. In this report, we present the unique findings of a case of gastroduodenal intussusception caused by an underlying gastric GIST and complicated with severe acute pancreatitis.

Keyword

Gastrointestinal stromal tumors; Pancreatitis, acute necrotizing; Stomach; Intussusception

MeSH Terms

Gastrointestinal Stromal Tumors*
Gastrointestinal Tract
Intussusception*
Pancreatitis*
Pancreatitis, Acute Necrotizing
Stomach

Figure

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  Fig. 1 Heterogenously enhancing endoluminal mass (arrows) arising from gastric fundus is seen on axial (A) and coronal (B) computed tomography images obtained after intravenous contrast administration at initial admission of the patient.

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  Fig. 2 (A) Gastroduedonal intussusception. (B, C) The mass protruding to the duedonum and causing obstruction (arrows). Also visible are stranding of the peripancreatic fat and fluid accumulation around heterogenously ehancing pancreas, a sign of early necrosis. (D) Macroscopic view of the mass arising from gastric corpus (arrow). (E) Perioperative view of pancreas. Please note relatively dark portion of the pankreas corresponding to pancreatic necrosis.

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