2024 Volume 44 Issue 7 Pages 883-887
We report the case of an 84-year-old woman who was referred to our hospital for recurrent vomiting. Abdominal CT revealed thickening of the gastric wall from the pylorus to the duodenum, suggestive of an obstruction caused either by gastric volvulus or intussusception. An upper gastrointestinal endoscopy performed for diagnostic and therapeutic purposes revealed gastric mucosa traction toward the pyloric ring and gastric intussusception. Due to the difficulty we faced in reduction, we performed laparoscopic surgery on the same day. Laparoscopy revealed gastro-duodenal intussusception caused by a prolapsed gastric tumor. Using laparoscopic forceps, we reduced the tumor into the stomach and performed partial gastrectomy under endoscopic guidance. Histopathological examination revealed a diagnosis of gastric cancer. Ball-Valve Syndrome (BVS) often necessitates emergency surgery due to the difficulty in reducing the tumor, precluding comprehensive examination. Reports of laparoscopic reduction in cases presenting with BVS are scarce, highlighting the potential usefulness of laparoscopy in the diagnosis and management of this condition; we present this case along with some relevant literature.
