Case reportGastroesophageal intussusception: a new cause of acute esophageal obstruction in children
Section snippets
Case report
A 3-year-old African-American boy presented with acute onset of upper abdominal discomfort, regurgitation of food and excessive salivation. His past medical and surgical history were unremarkable, and he was otherwise healthy. His mother reported no prior history of similar events and stated that these symptoms occurred suddenly after an episode of retching several hours before his presentation. His physical examination was significant for epigastric tenderness and salivation. Chest x-ray
Discussion
A form of retrograde gastroesophageal intussusception was first described by Enderlin in Germany in an autopsy in 1903.1 The pathologic process in adults has been described as gastroesophageal prolapse, gastric mucosal prolapse, or prolapse, gastropathy syndrome.2, 3 In 1947, Wells4 reported that herniation of gastric mucosa in the esophagus can occur. After Wells’ report, several investigators described cases in adults who manifest sudden dysphagia and acute hemorrhage combined with
References (8)
Acute hemorrhagic incarceration of prolapsed gastric mucosa
Gastroenterology
(1976)Invagination der vorderen Magenwand in den Oesophagus
Dtsch Z Chir
(1903)Gastric mucosal prolapse or gastroesophageal intussusception
Dig Dis Sci
(1985)- et al.
Hemorrhage due to retrograde prolapse of stomach
Am J Gastroenterol
(1979)
Cited by (14)
A Teenager With Acute Abdominal Mass: A Case of Gastro-Gastric Intussusception
2022, Journal of Emergency MedicineCitation Excerpt :Ultrasound is a good modality to diagnose ileo-ileal and ileocolic intussusception in pediatric patients. Classic findings include a “target” sign on transverse view and “pseudo kidney” on longitudinal view (8). Most gastro-gastric intussusceptions reported in the literature have been diagnosed using CT and it is therefore the imaging modality of choice in cases of high suspicion (10).
Retrograde gastroesophageal intussusception: Initial presenting feature of achalasia in a teenager
2019, Journal of Pediatric Surgery Case ReportsCitation Excerpt :Only one case of RGEI has been reported in a child without an existing esophageal condition. Lukish et al. [7] reported on a 3-year-old previously healthy child with abdominal pain and vomiting, who had evidence of esophageal obstruction on esophagram and a subsequent CT showing an RGEI. He underwent trans-thoracic esophagomyotomy for management.
An Unusual Cause of Recurrent Dysphagia
2016, GastroenterologyIntussusception in Infants and Children
2011, Pediatric Gastrointestinal and Liver DiseaseIntussusception in Infants and Children
2010, Pediatric Gastrointestinal and Liver DiseaseThe Stomach
2022, Fundamentals of Pediatric Surgery, Third Edition