False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction

Autor: Umesh Jayarajah, Oshan Basnayake, Pradeep Wijerathne, Jayan Jayasinghe, Nilesh Fernandopulle, Ishan De Zoysa
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Surgery, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6900
2090-6919
DOI: 10.1155/2019/3205051
Popis: A gastric diverticulum is an outpouching from the stomach wall. It is usually seen in the posterior gastric wall and the gastric antrum. Diverticula arising from the pyloric region are extremely rare. A 59-year-old female presented with progressively worsening symptoms of gastric outlet obstruction associated with dyspepsia and vague abdominal pain for 5 years. A large, thin-walled, wide-mouthed, false gastric diverticulum (filled with undigested food) arising from the pylorus associated with gastric outlet stenosis was found by endoscopy and CT imaging. Multiple biopsies from the region excluded a gastric malignancy. A gastrojejunostomy and jejunojejunostomy were performed to bypass the obstruction which successfully relieved the symptoms. This is an unusual site for gastric diverticula, and when associated with gastric outlet obstruction, further distention of the diverticulum may cause more obstruction with worsening symptoms.
Databáze: Directory of Open Access Journals
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