Late presentation of a congenital gastric diverticulum causing pyloric obstruction.
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We report a case of adult pyloric obstruction caused by the delayed presentation of a congenital gastric diverticulum. The derivation, classification and treatment of these abnormalities are discussed. (+info)
Laparoscopic resection of a gastric diverticulum: a case report.
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A 30-year-old woman presented with halitosis, sour taste, bloating, and right-sided abdominal pain of 3-months' duration. An upper gastrointestinal series revealed a diverticulum in the posterior cardia of the stomach. The patient underwent a laparoscopic resection of the diverticulum. Postoperatively, the patient did well; at a 28-month follow-up, no further symptoms were reported. Laparoscopic removal of a diverticulum produced an excellent outcome. (+info)
Laparoscopic resection of a symptomatic gastric diverticulum: a minimally invasive solution.
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Gastric diverticula are rare and occasionally symptomatic. A sensation of fullness in the upper abdomen immediately after meals is the most common symptom. Dyspepsia and vomiting are less common. Ulceration with hemorrhage or perforation has been reported. If it is thought that complaints can be ascribed to the diverticulum and if proton pump inhibitors do not relieve symptoms, surgical resection is an option. Knowledge of the pitfalls in diagnosis and treatment of a gastric diverticulum are essential for successful and complete relief of symptoms. We report a successful laparoscopic approach as a minimally invasive solution to a symptomatic gastric diverticulum. (+info)
Gastric diverticulum simulating left adrenal incidentaloma in a hypertensive patient.
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A 46-year-old Japanese male with hypertension was referred for examination of left adrenal tumor incidentally detected by computed tomography (CT) scan. The patient had a 4-month history of hypertension. Abdominal CT demonstrated a low-density mass 2.5 cm in diameter in the left adrenal region that was observed as a high-intense lesion with T2-weighted magnetic resonance imaging. (131) I-adosterol scintigraphy showed normal uptake of bilateral adrenals. The adrenocortical hormone levels were within normal ranges; however, urinary noradrenaline excretion was slightly elevated, likely due to concurrent sleep apnea syndrome. Based on the observation of a very tiny bubble in the ventral portion of the adrenal mass by careful review of CT images examined at a previous hospital, a restudy of abdominal CT with oral contrast was performed. In this restudy abdominal CT we observed positive enhancement of the left adrenal mass, indicating that the adrenal mass was a diverticulum derived from posterior gastric fornix. The present case study reinforces that preoperative differentiation from mimic adrenal tumors is necessary in cases of cystic adrenal mass in the left adrenal region. (+info)
Large gastric diverticulum.
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BACKGROUND: Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic. AIM: We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges. CASE REPORT: A 63-year-old man was admitted with vague epigastric discomfort. Physical examination and laboratory investigations were normal. Endoscopy revealed an erosive gastropathy and a pouch arising from the posterior aspect of the greater curve, 8 cm from the hiatus. Barium meal confirmed the presence of a 5 cm diameter diverticulum arising from the gastric fundus. CONCLUSION: Careful examination of the whole stomach at gastroscopy is recommended for not missing a diverticulum. (+info)
Gastric diverticulum: "a wayside house of ill fame" with a laparoscopic solution.
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Partial gastric diverticula: radiological and endoscopic features in six patients.
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Partial gastric diverticula are rare and clinically insignificant, but because experience is limited, they are liable to cause diagnostic confusion. This report describes the radiological and endoscopic appearances of partial gastric diverticula. (+info)