Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception

We present a unique case of duodeno-duodenal intussusception from a duodenal bulb ulcer. A 38-year-old man presented with nausea, vomiting, and abdominal pain. Computed tomography showed duodenal intussusception. Esophagogastroduodenoscopy (EGD) showed a linear gastric ulcer and a duodenal bulb ulce...

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Autores principales: Lingala, Shilpa, Moore, Andrew, Kadire, Siri, Shankar, Sridhar, Das, Kanak, Howden, Colin W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876451/
https://www.ncbi.nlm.nih.gov/pubmed/29619400
http://dx.doi.org/10.14309/crj.2018.25
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author Lingala, Shilpa
Moore, Andrew
Kadire, Siri
Shankar, Sridhar
Das, Kanak
Howden, Colin W.
author_facet Lingala, Shilpa
Moore, Andrew
Kadire, Siri
Shankar, Sridhar
Das, Kanak
Howden, Colin W.
author_sort Lingala, Shilpa
collection PubMed
description We present a unique case of duodeno-duodenal intussusception from a duodenal bulb ulcer. A 38-year-old man presented with nausea, vomiting, and abdominal pain. Computed tomography showed duodenal intussusception. Esophagogastroduodenoscopy (EGD) showed a linear gastric ulcer and a duodenal bulb ulcer with an overlying blood clot. Helicobacter pylori status was positive. Intussusception resolved spontaneously without intervention. He completed treatment for H. pylori infection, and repeat EGD showed ulcer healing. Duodenal intussusception is rarely reported; intussusception from an edematous duodenal ulcer with an overlying blood clot mimicking a mass lesion acting as lead point has never been reported to our knowledge.
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spelling pubmed-58764512018-04-04 Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception Lingala, Shilpa Moore, Andrew Kadire, Siri Shankar, Sridhar Das, Kanak Howden, Colin W. ACG Case Rep J Case Report We present a unique case of duodeno-duodenal intussusception from a duodenal bulb ulcer. A 38-year-old man presented with nausea, vomiting, and abdominal pain. Computed tomography showed duodenal intussusception. Esophagogastroduodenoscopy (EGD) showed a linear gastric ulcer and a duodenal bulb ulcer with an overlying blood clot. Helicobacter pylori status was positive. Intussusception resolved spontaneously without intervention. He completed treatment for H. pylori infection, and repeat EGD showed ulcer healing. Duodenal intussusception is rarely reported; intussusception from an edematous duodenal ulcer with an overlying blood clot mimicking a mass lesion acting as lead point has never been reported to our knowledge. American College of Gastroenterology 2018-03-28 /pmc/articles/PMC5876451/ /pubmed/29619400 http://dx.doi.org/10.14309/crj.2018.25 Text en Copyright © Lingala et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Lingala, Shilpa
Moore, Andrew
Kadire, Siri
Shankar, Sridhar
Das, Kanak
Howden, Colin W.
Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception
title Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception
title_full Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception
title_fullStr Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception
title_full_unstemmed Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception
title_short Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception
title_sort unusual presentation of duodenal ulcer presenting with duodenal intussusception
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876451/
https://www.ncbi.nlm.nih.gov/pubmed/29619400
http://dx.doi.org/10.14309/crj.2018.25
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