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/
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
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]
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 Processing time: 218 Days and 19.4 Hours
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.
