Journal List > J Korean Soc Radiol > v.64(4) > 1086927

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Kwak, Bae, Park, Lee, Jeon, Cho, Kang, Ryu, and Lee: Gastritis Cystica Polyposa with Gastroduodenal Intussuception: A Case Report
Abdominal Radiology
Case Report

Journal of the Korean Society of Radiology 2011; 64(4): 361-364.

Published online: 30 April 2011

DOI: https://doi.org/10.3348/jksr.2011.64.4.361

Gastritis Cystica Polyposa with Gastroduodenal Intussuception: A Case Report

Soon Hyuk Kwak, M.D.1, Il Hun Bae, M.D.1, Kil Sun Park, M.D.1, Seung Young Lee, M.D.1, Min Hee Jeon, M.D.1, Bum Sang Cho, M.D.1, Min Ho Kang, M.D.1, Dong Hee Ryu, M.D.2, Ho Chang Lee, M.D.3

1Department of Radiology, College of Medicine and Medical Research Institute, Chungbuk National University, Korea.

2Department of Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Korea.

3Department of Pathology, College of Medicine and Medical Research Institute, Chungbuk National University, Korea.

Address reprint requests to: Il Hun Bae, M.D., Department of Radiology, Chungbuk National University Hospital, 410 Seongbong-ro, Heungdeok-gu, Cheongju, Chungbuk 361-711, Korea. Tel. 82-43-269-6470, Fax. 82-43-269-6479.

Received 8 November 2010       Accepted 18 January 2011

Copyright © 2011 The Korean Society of Radiology

Abstract

Gastritis cystica polyposa is an uncommon benign lesion that normally occurs on the gastric side of a gastroenterostomy site but is rarely found in patients without a prior history of stomach surgery. We report a case of a 41-year-old woman with gastrodeuodenal intussusception due to gastritis cystica polyposa that developed in an unoperated stomach. CT revealed gastroduodenal intussusception and a cystic and solid mass with fat density in the second portion of the duodenum. Surgery and a pathologic examination confirmed gastritis cystica polyposa.

Keywords: Stomach, Duodenum, Intussusception, Gastric Mucosa, Gastritis

Figures and Tables

Fig. 1

A 41-year-old woman with gastritis cystica polyposa.

A. Axial image of contrast enhanced abdomen CT shows gastroduodenal intussuception (arrow).
B. Heterogeneous enhancing mass (arrow) is in the second portion of duodenum. Note the non-enhancing low attenuation portion (arrowhead) located in the distal portion of intussusception suggesting omental fat and cystic components.
C. Endoscopic view of the stomach shows that the distal portion of gastric antrum is intussuscepted through pyloric canal.
D. Post-reduction view shows a lobulated, polypoid mass, which is fixed at the lesser curvature side of the stomach by a stalk.
E. Gross photography shows a polypoid mass with submucosal stroma and herniated yellowish omental fat.
F. Microscopically, polypoid mass is composed of variable-sized cysts located in submucosa and mucosa (H & E staining, ×40).
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