Gastroduodenal intussusception caused by gastric gastrointestinal stromal tumor: A case report and review of the literature

Table 1 Laboratory examinations

	Result	Reference range
WBC	9.37	4.4-11.3 × 109 L
Hb	9.1	12.3-15.3 g/dL
Plt	302	(160-370) × 1000/uL
CRP	2.04	mg/L
Crea	1.53	mg/dL
BUN	25.9	mg/dL
Na	139	mmol/L
K	3.9	mmol/L
GOT	16	IU/L
GPT	11	IU/L
INR	0.97
PTT	24.3	sec
CEA	3.58

WBC: White blood cells; Hb: Hemoglobin; Plt: Platelets; CRP: C reactive protein; Crea: Creatinine; BUN: Blood urea nitrogen; GOT: Glutamic oxalacetic transaminase; GPT: Glutamic pyruvic transaminase; CEA: Carcinoma embryonic antigen.

Table 2 Review of case reports on gastroduodenal intussusception

Ref.	Year	Age	Sex	Diagnosis	Pathology report	Management	Size
Nakagawara et al[9]	2000	50	F	EGD	Gastric heterotopia	Endoscopic polypectomy	30 mm × 36 mm
Sankaranunni et al[10]	2001	48	M	CT	Gastric lipoma	Laparotomy	NA
Harrison et al[11]	2001	76	M	EGD	Leiomyoma	Laparotomy	50 mm × 42 mm
Mouës et al[12]	2002			EGD and CT	Gastric lipoma	Laparotomy	50 mm × 100 mm
Crowther et al[13]	2002	59	F	CT	GIST	Partial gastrectomy	60 mm
Vinces et al[14]	2005	72	M	Laparoscopy	Gastric lipoma	Exploratory laparotomy	NA
Vinces et al[14]	2006				Gastric lipoma		NA
Juglard et al[15]	2006				Ménétrier’s disease		NA
Adjepong et al[16]	2006	84	M	CT	GIST	Laparoscopic Billroth II partial gastrectomy	40 mm × 30 mm
Samamé et al[17]	2007				GIST		NA
Shum et al[18]	2007	34	F	CT	GIST	Partial gastrectomy	50 mm × 50 mm
Shum et al[18]	2008	67	M	Ultrasound and EGD	Gastric carcinoma	Surgical resection	45 mm × 40 mm
Alamili al[19]	2008			CT	Duodenal lipoma	Surgical resection	NA
Siam et al[20]	2008	29	M	EGD	GIST	Partial Gastrectomy	60 mm × 60 mm
Su et al[21]	2009	24	M	EGD	Gastric carcinoma (PJS)	Surgical resection	30 mm
Hillenbrand et al[22]	2009	42	F	CT	Post banded gastroplasty	Surgical reduction
Chan et al[23]	2009	34	F	CT	GIST	Laparoscopic wedge resection	65 mm × 44 mm
Eom al[24]	2011	73	F	CT and EGD	Gastric carcinoma	Subtotal gastrectomy	78 mm × 75 mm
Euanorasetr et al[25]	2011				Gastric carcinoma	Subtotal gastrectomy	NA
Gyedu et al[26]	2011	59	F	CT and US	GIST	Partial gastrectomy	70 mm × 60 mm
Seok et al[27]	2012	51	M	CT and EGD	GIST	Gastric partial resection	55 mm × 42 mm
Seok et al[27]	2012	62	F	EGD and CT	GIST	Billroth II partial gastrectomy	52 mm × 35 mm
Wilson et al[28]	2012	78	F	CT	GIST	Laparoscopic wedge resection	44 mm × 33 mm
Chen et al[29]	2013	63	F	CT and EGD	Gastric hamartomatous polyp	Endoscopic mucosal resection	NA
Rittenhouse et al[30]	2013	52	F	CT	GIST	Laparoscopic wedge resection	50 mm × 50 mm
Chahla et al[31]	2014	76	M	CT	Gastric hyperplastic polyp	Endoscopic resection	< 30 mm
Khanna et al[32]	2014	33	M	CT and EGD	Brunner’s gland hamartoma	Duodenostomy and polypectomy	35 mm × 70 mm
Kadowaki et al[33]	2014	77	F	Laparotomy	Gastric collision tumor	Gastrotomy followed by duodenotomy	120 mm
Yang et al[34]	2015	63	M	CT	Gastric schwannoma	Conventional laparotomy	55 mm × 48 mm
M S et al[35]	2015	74	M	CT	GIST	Partial gastrectomy	NA
Indiran et al[36]	2015				GIST		NA
Yildiz et al[37]	2016	85	F	CT	GIST	Subtotal gastrectomy	60 mm × 50 mm
Komatsubara et al[38]	2016	90	F	EGD	GIST	Wedge resection	50 mm × 45 mm
Yamauchi et al[9]	2017	95	F	CT	GIST	Endoscopic submucosaldissection	42 mm × 39 mm
Jameel et al[39]	2017	65	F	EGD and CT	GIST	Laparoscopic resection	60 mm × 60 mm
Casimiro Pérez et al[40]	2018	55	M	EGD and CT	Gastric submucosal lipoma	Laparoscopic transgastric excision	63 mm × 55 mm
Zhou et al[41]	2018	69	M	EGD and CT	GIST	Laparoscopic resection	45 mm × 40 mm
Ssentongo et al[42]	2018	85	F	CT	GIST	Wedge resection	25 mm × 25 mm
De et al[43]	2018	42	F	EGD	GIST	Surgical resection	80 mm × 70 mm
Đokić et al[8]	2019	62	M	CT and US	GIST	Laparotomy resection	75 mm × 55 mm
Suda et al[44]	2019	81	F	EGD and CT	Gastric carcinoma	Laparoscopic gastrectomy	55 mm
Our case	2020	84	M	US and EGD and CT	GIST	Endoscopic submucosaldissection and surgical repair	59 mm

EGD: Esophagogastroduodenoscopy; F: Female; CT: Computed tomography; GIST: Gastrointestinal stromal tumor; M: Male; NA: Not available.