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We present a rare case of gastrogastric intussusception due to gastrointestinal stromal tumor (GIST) and the largest comprehensive literature review of published case reports on gastrointestinal (GI) intussusception due to GIST in the past three decades. We found that the common presenting symptoms were features of gastrointestinal obstruction and melena. We highlight the diagnostic challenges faced in low-resource countries. Our findings emphasize the importance of early clinical diagnosis in low-resource settings in order to guide timely management. In addition, histological analysis of the tumor for macroscopic and microscopic characteristics including mitotic index and c-Kit/CD117 status should be obtained to guide adjuvant therapy with imatinib mesylate. Periodic follow-up to access tumor recurrence is fundamental and should be the standard of care.
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http://dx.doi.org/10.1155/2018/1395230 | DOI Listing |
BMJ Case Rep
September 2025
Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
This case report concerns a male patient in early adolescence who presented to our clinic with several months of abdominal discomfort, irregular bowel habits, tenesmus and a sensation of incomplete evacuation. Previous treatment was through osmotic laxatives. Initial workup of physical examination and endoscopy was inconclusive and did not show any anatomical abnormalities.
View Article and Find Full Text PDFWorld J Surg
September 2025
Kids Operating Room, Edinburgh, Scotland.
Background: Although prior studies have estimated the burden of pediatric surgical disease in low- and middle-income countries (LMICs) through statistical modeling and hospital- or household-based surveys, few large-scale descriptions of procedures and outcomes have been published. We aimed to describe the epidemiology and outcomes of children's surgical care at multiple centers across Africa.
Methods: Perioperative clinical data were collected prospectively from 2018 to 2023 at 17 hospitals in 11 African countries using a preexisting tool.
Am J Gastroenterol
September 2025
Division of Gastroenterology, Carillion Clinic, Roanoke, VA 24014, USA.
Introduction: To evaluate the long-term gastrointestinal and hepatobiliary safety of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in patients with type 2 diabetes mellitus (T2DM), compared to other oral antidiabetic medications.
Methods: A retrospective cohort study using the TriNetX network was conducted between 2010-2020. After 1:1 propensity score matching, 230,415 patients were included in each group (GLP-1 RAs vs.
Int J Surg Case Rep
August 2025
Department of Visceral and Digestive Surgery, Simone Veil Hospital, Eaubonne, France. Electronic address:
Introduction: Intestinal obstruction represents a surgical emergency requiring urgent diagnosis and treatment. Vanek's tumor or inflammatory fibroid polyp (IFP) is a rare benign gastrointestinal tumor. This tumor is responsible for intestinal obstructions and rarely bleeding.
View Article and Find Full Text PDFRadiol Case Rep
November 2025
Department of General Surgery, Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia.
Adult intussusception is an uncommon surgical phenomenon. Computed tomography (CT) is the most sensitive imaging modality to diagnose intussusception. However, given the uncertain aetiology and concern for potential malignancy, surgical intervention remains the gold standard for accurate diagnosis and treatment of adult intussusception.
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