Gastroduodenal intussusception due to gastric schwannoma treated by billroth II distal gastrectomy: One case report
作者： Jia-Hua Yang , Min Zhang , Zhi-Hua Zhao , Yu Shu , Jun Hong
关键词: Abdominal pain 、 Gastrointestinal bleeding 、 Internal medicine 、 Intussusception (medical disorder) 、 Billroth II 、 Medicine 、 Surgery 、 Gastroenterology 、 Schwannoma 、 Gastric Schwannoma 、 Gastrectomy 、 Abdominal mass
摘要: Schwannomas are rarely observed in the gastrointestinal tract. The most common symptoms of a gastric schwannoma abdominal pain or dyspepsia, bleeding, and an mass. Many schwannomas asymptomatic discovered incidentally at postmortem. diagnosis is based on immunohistochemical positivity for S-100 protein. We present case report rare complication causing gastroduodenal intussusception that was successfully managed by Billroth II distal gastrectomy. In this case, patient had intermittent, colicky pain, nausea, vomiting over 4 wk accompanied weight loss. A made computed tomography. gastrectomy then performed, complete en bloc removal (R0 resection) achieved. Pathology confirmed through positive staining
dissem.in参考文章(11)
Toyoshima H, Isoyama T, Bandoh T, Submucosal tumors of the stomach: a study of 100 operative cases. Surgery. ,vol. 113, pp. 498- 506 ,(1993)
Dragoumis D, Atmatzidis S, Tsiaousis P, Atmatzidis K, Patsas A, Chatzimavroudis G, Gastric schwannoma: a case report and literature review. Hippokratia. ,vol. 16, pp. 280- 282 ,(2012)
JML Williamson, MS Wadley, NA Shepherd, S Dwerryhouse, Gastric schwannoma: a benign tumour often mistaken clinically, radiologically and histopathologically for a gastrointestinal stromal tumour--a case series. Annals of The Royal College of Surgeons of England. ,vol. 94, pp. 245- 249 ,(2012) , 10.1308/003588412X13171221590935
WILLIAM T. STUBENBORD, BJORN THORBJARNARSON, Intussusception in adults Annals of Surgery. ,vol. 172, pp. 306- 310 ,(1970) , 10.1097/00000658-197008000-00019
Abbas Agaimy, Bruno Märkl, Julia Kitz, Peter H. Wünsch, Hans Arnholdt, Laszlo Füzesi, Arndt Hartmann, Runjan Chetty, Peripheral nerve sheath tumors of the gastrointestinal tract: a multicenter study of 58 patients including NF1-associated gastric schwannoma and unusual morphologic variants. Virchows Archiv. ,vol. 456, pp. 411- 422 ,(2010) , 10.1007/S00428-010-0886-8
David W. Rittenhouse, Pei-Wen Lim, Lawrence A. Shirley, Karen A. Chojnacki, Gastroduodenal Intussusception of a Gastrointestinal Stromal Tumor (GIST) Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. ,vol. 23, pp. e70- e73 ,(2013) , 10.1097/SLE.0B013E31826D72D4
Juan F. Alvarez, Kfir Ben-David, Gastric schwannoma: a rare find. Journal of Gastrointestinal Surgery. ,vol. 17, pp. 2179- 2181 ,(2013) , 10.1007/S11605-013-2387-Y
Markku Miettinen, Jerzy Lasota, Gastrointestinal stromal tumors--definition, clinical, histological, immunohistochemical, and molecular genetic features and differential diagnosis. Virchows Archiv. ,vol. 438, pp. 1- 12 ,(2001) , 10.1007/S004280000338
Yutaka Daimaru, Hideki Kido, Hiroshi Hashimoto, Munetomo Enjoji, Benign schwannoma of the gastrointestinal tract: a clinicopathologic and immunohistochemical study. Human Pathology. ,vol. 19, pp. 257- 264 ,(1988) , 10.1016/S0046-8177(88)80518-5
K S Crowther, L Wyld, Q Yamani, G Jacob, Case report: gastroduodenal intussusception of a gastrointestinal stromal tumour. British Journal of Radiology. ,vol. 75, pp. 987- 989 ,(2002) , 10.1259/BJR.75.900.750987