Published in:
01-06-2021 | Gastric Cancer | DDS–SIRC COOPERATIVE CONFERENCES
Benign Blockage: Gastric Outlet Obstruction due to a Prolapsing Gastric Pedunculated Polyp—Case Report and Literature Review
Published in: Digestive Diseases and Sciences | Issue 6/2021
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An 89-year-old woman was admitted to the emergency department at “Ospedale Civile Umberto I” in Lugo (Ravenna) for 1 month of vomiting, mild epigastric pain, and postprandial diarrhea without fever. Main comorbidities included chronic atrial fibrillation treated with a direct-acting oral anticoagulant, previous MI, hypertension, diabetes, and hypercholesterolemia, though despite her age the patient was autonomous in her daily activities. On admission, laboratory tests included normal WBC count, Hgb, and CRP. Abdominal X-ray demonstrated a stomach filled by ingested food (Fig. 1a) and diffuse air–fluid levels accompanied by abdominal distension (Fig. 1b). A surgical consultation was requested; a CT scan was performed confirming gastric distension by ingested food (Fig. 2).
Fig. 1
a Abdominal X-ray at admission showing stomach filled by ingested food (red arrow). b Abdominal X-ray at admission showing diffuse air–fluid levels (red arrow) with abdominal distension
Fig. 2
Abdominal CT scan at admission confirming gastric distension due to ingested food (red arrow)
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