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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 7, 2009; 15(41): 5224-5227
Published online Nov 7, 2009. doi: 10.3748/wjg.15.5224
Published online Nov 7, 2009. doi: 10.3748/wjg.15.5224
Gastrointestinal stromal tumor causing small bowel intussusception in a patient with Crohn’s disease
George E Theodoropoulos, Dimitrios Linardoutsos, Dimitrios Tsamis, Paraskevas Stamopoulos, Nikolaos V Michalopoulos, First Department of Propaedeutic Surgery, Hippocration University Hospital, Athens 11527, Greece
Dimitrios Giannopoulos, Department of Pathology, Hippocration University Hospital, Athens 11527, Greece
Flora Zagouri, Department of Clinical Therapeutics, Alexandra Hospital, Athens 11528, Greece
Author contributions: Theodoropoulos GE and Linardoutsos D wrote the paper; Tsamis D and Stamopoulos P collected and analyzed the data; Giannopoulos D performed the histopathology analysis; Michalopoulos NV and Zagouri F critically revised the paper for important intellectual content.
Correspondence to: Nikolaos V Michalopoulos, MD, PhD, First Department of Propaedeutic Surgery, Hippocration University Hospital, Athens 11527, Greece. nmichal@med.uoa.gr
Telephone: +30-21-8024721 Fax: +30-21-7792819
Received: July 11, 2009
Revised: September 18, 2009
Accepted: September 25, 2009
Published online: November 7, 2009
Revised: September 18, 2009
Accepted: September 25, 2009
Published online: November 7, 2009
Abstract
We report a case of jejunoileal intussusception in a 42-year-old patient with Crohn’s disease caused by a gastrointestinal stromal tumor. The patient complained of vague diffuse abdominal pain for a period of 4 mo. Intussusception was suspected at computer tomography and magnetic resonance imaging scans. Segmental resection of the small intestine was performed. Pathological examination of the surgical specimen revealed a gastrointestinal stromal tumor as well as aphthous ulcerations and areas of inflammation, which were characteristic of Crohn’s disease. This is the first report of small bowel intussusception due to a gastrointestinal stromal tumor coexisting with Crohn’s disease.