Yang JH, Zhang M, Zhao ZH, Shu Y, Hong J, Cao YJ. Gastroduodenal intussusception due to gastric schwannoma treated by billroth II distal gastrectomy: One case report. World J Gastroenterol 2015; 21(7): 2225-2228 [PMID: 25717262 DOI: 10.3748/wjg.v21.i7.2225]
Corresponding Author of This Article
Yi-Jun Cao, MD, Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, 164 Lanxi Rd, Shanghai 200062, China. caoyijunpzx@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Feb 21, 2015; 21(7): 2225-2228 Published online Feb 21, 2015. doi: 10.3748/wjg.v21.i7.2225
Gastroduodenal intussusception due to gastric schwannoma treated by billroth II distal gastrectomy: One case report
Jia-Hua Yang, Min Zhang, Zhi-Hua Zhao, Yu Shu, Jun Hong, Yi-Jun Cao
Jia-Hua Yang, Min Zhang, Zhi-Hua Zhao, Yu Shu, Jun Hong, Yi-Jun Cao, Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China
Author contributions: Yang JH and Cao YJ designed the report; Zhao ZH, Shu Y and Hong J collected the patient’s clinical data; Yang JH and Zhang M analyzed the data and wrote the paper.
Supported by Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yi-Jun Cao, MD, Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, 164 Lanxi Rd, Shanghai 200062, China. caoyijunpzx@163.com
Telephone: +86-21-22233222 Fax: +86-21-2223222
Received: July 7, 2014 Peer-review started: July 8, 2014 First decision: August 6, 2014 Revised: August 21, 2014 Accepted: September 29, 2014 Article in press: September 30, 2014 Published online: February 21, 2015
Abstract
Schwannomas are rarely observed in the gastrointestinal tract. The most common symptoms of a gastric schwannoma are abdominal pain or dyspepsia, gastrointestinal bleeding, and an abdominal mass. Many gastric schwannomas are asymptomatic and are discovered incidentally or at postmortem. The diagnosis of a schwannoma is based on immunohistochemical positivity for S-100 protein. We present a case report of a rare complication of gastric schwannoma causing gastroduodenal intussusception that was successfully managed by a Billroth II distal gastrectomy. In this rare case, the patient had intermittent, colicky abdominal pain, nausea, and vomiting for over 4 wk accompanied by a weight loss. A diagnosis of gastric intussusception was made by computed tomography. A Billroth II distal gastrectomy was then performed, and complete en bloc removal (R0 resection) was achieved. Pathology confirmed a gastric schwannoma through positive immunohistochemical staining for S-100 protein.
Core tip: Schwannomas are rarely observed in the gastrointestinal tract. We present a case report of a rare complication of gastric schwannoma causing gastroduodenal intussusception that was successfully managed by a Billroth II distal gastrectomy.
