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Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom
Gastroduodenal intussusception (GDI) is a very rare clinical entity in adults. GDI can present acutely or chronically in adults with varying spectrum of symptoms and signs. GDI can present acutely with abdominal pain, vomiting and palpable mass. In rare instances it can lead to anemia and cachexia....
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239515/ https://www.ncbi.nlm.nih.gov/pubmed/35837080 http://dx.doi.org/10.14740/jmc3899 |
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author | Badipatla, Kanthi Rekha Nayudu, Suresh K. Dominguez, Michelle Frances Wong, Jeremey Louie, Kevin Chaudhri, Ali A. Karpinos, Robert Dmitry, Karev |
author_facet | Badipatla, Kanthi Rekha Nayudu, Suresh K. Dominguez, Michelle Frances Wong, Jeremey Louie, Kevin Chaudhri, Ali A. Karpinos, Robert Dmitry, Karev |
author_sort | Badipatla, Kanthi Rekha |
collection | PubMed |
description | Gastroduodenal intussusception (GDI) is a very rare clinical entity in adults. GDI can present acutely or chronically in adults with varying spectrum of symptoms and signs. GDI can present acutely with abdominal pain, vomiting and palpable mass. In rare instances it can lead to anemia and cachexia. Computed tomography (CT) of the abdomen can demonstrate GDI in majority of cases. However, endoscopy findings could lead to identifying etiological factor and tissue diagnosis. In majority of the cases endoscopy may show mucosal or submucosal lesion leading to GDI. We bring forward a case of GDI wherein patient presented with cachexia, intermittent vomiting along with anemia. Further workup including imaging has resulted in the rare diagnosis of GDI. Interestingly we encountered a rare of its kind, endoscopic presentation where there was total absence of stomach due to its complete invagination through the pylorus into the duodenum arising from a giant gastric hyperplastic polyp. We have successfully managed this patient with surgical intervention leading to positive clinical outcomes. On review of literature, we found that it is extremely rare to have a completely absent stomach on endoscopy in a patient with no previous surgical intervention. We would like to share our experience so that endoscopists are aware of such uncommon and interesting presentations. To the best of our knowledge, such a case has not been reported so far in literature. |
format | Online Article Text |
id | pubmed-9239515 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-92395152022-07-13 Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom Badipatla, Kanthi Rekha Nayudu, Suresh K. Dominguez, Michelle Frances Wong, Jeremey Louie, Kevin Chaudhri, Ali A. Karpinos, Robert Dmitry, Karev J Med Cases Case Report Gastroduodenal intussusception (GDI) is a very rare clinical entity in adults. GDI can present acutely or chronically in adults with varying spectrum of symptoms and signs. GDI can present acutely with abdominal pain, vomiting and palpable mass. In rare instances it can lead to anemia and cachexia. Computed tomography (CT) of the abdomen can demonstrate GDI in majority of cases. However, endoscopy findings could lead to identifying etiological factor and tissue diagnosis. In majority of the cases endoscopy may show mucosal or submucosal lesion leading to GDI. We bring forward a case of GDI wherein patient presented with cachexia, intermittent vomiting along with anemia. Further workup including imaging has resulted in the rare diagnosis of GDI. Interestingly we encountered a rare of its kind, endoscopic presentation where there was total absence of stomach due to its complete invagination through the pylorus into the duodenum arising from a giant gastric hyperplastic polyp. We have successfully managed this patient with surgical intervention leading to positive clinical outcomes. On review of literature, we found that it is extremely rare to have a completely absent stomach on endoscopy in a patient with no previous surgical intervention. We would like to share our experience so that endoscopists are aware of such uncommon and interesting presentations. To the best of our knowledge, such a case has not been reported so far in literature. Elmer Press 2022-06 2022-06-11 /pmc/articles/PMC9239515/ /pubmed/35837080 http://dx.doi.org/10.14740/jmc3899 Text en Copyright 2022, Badipatla et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Badipatla, Kanthi Rekha Nayudu, Suresh K. Dominguez, Michelle Frances Wong, Jeremey Louie, Kevin Chaudhri, Ali A. Karpinos, Robert Dmitry, Karev Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom |
title | Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom |
title_full | Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom |
title_fullStr | Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom |
title_full_unstemmed | Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom |
title_short | Cachexia and Invisible Stomach on Endoscopy: An Endoscopist’s Enigma and a Surgeon’s Axiom |
title_sort | cachexia and invisible stomach on endoscopy: an endoscopist’s enigma and a surgeon’s axiom |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239515/ https://www.ncbi.nlm.nih.gov/pubmed/35837080 http://dx.doi.org/10.14740/jmc3899 |
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