False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction
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...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/3205051 |
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| author | Umesh Jayarajah Oshan Basnayake Pradeep Wijerathne Jayan Jayasinghe Nilesh Fernandopulle Ishan De Zoysa |
| author_facet | Umesh Jayarajah Oshan Basnayake Pradeep Wijerathne Jayan Jayasinghe Nilesh Fernandopulle Ishan De Zoysa |
| author_sort | Umesh Jayarajah |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-825e6e83ed3843348a3171f29e5f4624 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-825e6e83ed3843348a3171f29e5f46242025-02-03T06:10:59ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/32050513205051False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet ObstructionUmesh Jayarajah0Oshan Basnayake1Pradeep Wijerathne2Jayan Jayasinghe3Nilesh Fernandopulle4Ishan De Zoysa5Professorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaProfessorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaProfessorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaProfessorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, Sri LankaA 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.http://dx.doi.org/10.1155/2019/3205051 |
| spellingShingle | Umesh Jayarajah Oshan Basnayake Pradeep Wijerathne Jayan Jayasinghe Nilesh Fernandopulle Ishan De Zoysa False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction Case Reports in Surgery |
| title | False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction |
| title_full | False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction |
| title_fullStr | False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction |
| title_full_unstemmed | False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction |
| title_short | False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction |
| title_sort | false gastric diverticulum arising from the pylorus associated with gastric outlet obstruction |
| url | http://dx.doi.org/10.1155/2019/3205051 |
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