Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum
A gastric diverticulum is a pouch protruding from the gastric wall. The vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding makes this condition a diagnostic challenge. We present a case of large gastric diverticulum that has been diagnos...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/1941293 |
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| author | Mauro Podda Jenny Atzeni Antonio Messina Campanella Alessandra Saba Adolfo Pisanu |
| author_facet | Mauro Podda Jenny Atzeni Antonio Messina Campanella Alessandra Saba Adolfo Pisanu |
| author_sort | Mauro Podda |
| collection | DOAJ |
| description | A gastric diverticulum is a pouch protruding from the gastric wall. The vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding makes this condition a diagnostic challenge. We present a case of large gastric diverticulum that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope. A 51-year-old man presented to the medical department due to a syncopal episode occurring while he was resting on the beach after having his lunch, with concomitant vague epimesogastric gravative pain without any other symptom. A diagnosis of neuromediated syncopal episode was made by the cardiologist. Due to the referred epimesogastric pain, an abdominal ultrasound scan was carried out, showing perisplenic fluid. A CT scan of the abdomen was performed to exclude splenic lesions. The CT scan revealed a large diverticulum protruding from the gastric fundus. The upper gastrointestinal endoscopy visualized a large diverticular neck situated in the posterior wall of the gastric fundus, partially filled by undigested food. The patient underwent surgery, with an uneventful postoperative course. Histologic examination showed a full-thickness stomach specimen, indicative of a congenital diverticulum. At the 2nd month of follow-up, the patient was asymptomatic. |
| format | Article |
| id | doaj-art-fe0ce70f73d54674ad716a3386102392 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-fe0ce70f73d54674ad716a33861023922025-02-03T01:12:12ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/19412931941293Syncope with Surprise: An Unexpected Finding of Huge Gastric DiverticulumMauro Podda0Jenny Atzeni1Antonio Messina Campanella2Alessandra Saba3Adolfo Pisanu4Department of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, ItalyDepartment of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, ItalyDepartment of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, ItalyDepartment of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, ItalyDepartment of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, ItalyA gastric diverticulum is a pouch protruding from the gastric wall. The vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding makes this condition a diagnostic challenge. We present a case of large gastric diverticulum that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope. A 51-year-old man presented to the medical department due to a syncopal episode occurring while he was resting on the beach after having his lunch, with concomitant vague epimesogastric gravative pain without any other symptom. A diagnosis of neuromediated syncopal episode was made by the cardiologist. Due to the referred epimesogastric pain, an abdominal ultrasound scan was carried out, showing perisplenic fluid. A CT scan of the abdomen was performed to exclude splenic lesions. The CT scan revealed a large diverticulum protruding from the gastric fundus. The upper gastrointestinal endoscopy visualized a large diverticular neck situated in the posterior wall of the gastric fundus, partially filled by undigested food. The patient underwent surgery, with an uneventful postoperative course. Histologic examination showed a full-thickness stomach specimen, indicative of a congenital diverticulum. At the 2nd month of follow-up, the patient was asymptomatic.http://dx.doi.org/10.1155/2016/1941293 |
| spellingShingle | Mauro Podda Jenny Atzeni Antonio Messina Campanella Alessandra Saba Adolfo Pisanu Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum Case Reports in Surgery |
| title | Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum |
| title_full | Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum |
| title_fullStr | Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum |
| title_full_unstemmed | Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum |
| title_short | Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum |
| title_sort | syncope with surprise an unexpected finding of huge gastric diverticulum |
| url | http://dx.doi.org/10.1155/2016/1941293 |
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