• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Gastroduodenal Intussusception-A Rare Interesting Case Report.

Choden Norbu, MS, J S Basunia, MS, K Khan, MD, D Bagchi, MS, N Pandit, MD, A N Sarkar, MS, Jamyang Gyatsho, MS. North Bengal Medical Colleg& Hospital,Sushrutanagar,Darjeeling,West Bengal,India

 

Histopathology-Gastroduodenal intussusception

Intraoperative findings-IntussusceptionUSG-intussusceptionCT scan image -IntussusceptionImmunohistocytochemistry- CD10 marker

Immunohistocytochemistry-CD 20 markerImmunohistocytochemistry-CD 5 markerGatruduodenal Intussception is by far a very rare clinical entity reported in the literature.We present a rare case in a 10 year old boy who presented to us with features of subacute gastrointestinal obstruction.A presumptive diagnosis of gastroduodenal intussusception was made which was later confirmed on Ultrasonography,Barium Meal study and Computed Tomogram of the Abdomen.

At Laporotomy the distal part of the stomach and duodenum upto the 2nd part was poorly delineated and a hard mass was observed at the corresponding place.Multiple lymph nodes were observed interspersed throughout the entire gastrointestinal tract and the mesentery.Minimal free fluid was present. Manipulation of the mass for reduction was not possible as it was adherent.Hence a longitudinal incision over the mass was given extending from the anterior wall of the distal stomach ,pylorus upto the duodenum.On opening and exposing the anterior wall of the stomach a chronic indurated mass was seen obliterating the lumen .Fine dissection was not possible and thus removed piece meal.The post wall of the stomach was left in situ as it was poorly defined .Duodenum was divided and closed.Partial gastrectomy with gastrojejunostomy and roux en Y jejunojejunostomy was constructed.Mesenteric lymph nodes were sent for biopsy and fluid sent for biochemical analysis. Our presumptive diagnosis intraoperatively was on the lines of a gastroduodenal intussusception secondary to a tubercular lymphadenitis or a lymphoproliferative disorder.

The Ascitic Fluid analysis report documented an increased ADA level of 162 IU/L.The Histopathological Report of the lymph node that arrived subsequently came to a diagnosis of Non Hodgkins Lymphoma. On Immunohistocytochemistry the tumour cells showed strong immunoreactivity for CD 45 (Leucocyte common antigen) and B-cell marker CD 20. Moderate and weak immunoreactivity was noted for CD 10 and CD 30 respectively in the atypical tumour cells. These cells were also negative for CD 5 and CD 3. Hence, immunohistochemistry favored a diagnosis of Non Hodgkin Lymphoma, Diffuse large B cell type, germinal center subtype.

Post operatively the patient was recovering well on his last visit and we have now referred him to a Medical Specialist for initiation of chemotherapy.
Gastroduodenal Intususception is by far very rare and there have been very few case reports on this clinical entity.To the best of our knowledge Gastroduodenal intususception secondary to a Non Hodgkins Lymphoma has never ever been reported.Suprisingly we also observed that this patient had no systemic features suggestive of a lymphoid malignancy .It was only on histopathological and immunohistochemistry examination of the lymph nodes that the diagnosis was ascertained.

The reporting of this case thus holds importance on three counts .First
because it adds to the literature of the very few cases of gastroduodenal intussusception reported so far .Secondly, a Gastroduodenal intussusceptions secondary to a Non Hodgkins lymphoma has never ever been reported and finally for the fact that this Lymphoid malignancy could present as a gastroduodenal intusussception as the initial clinical manifesting feature ,as was the case in our patient.

 


Session Number: Poster – Poster Presentations
Program Number: P177
View Poster

549

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons