Erschienen in:
23.07.2020 | GI Image
Fibrohistocytic Proliferation Presenting with Gastric Outlet Obstruction
verfasst von:
E. Tindall, M. Z. Akhtar, V. Udupa
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 4/2021
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Excerpt
We present a rare case of a 74-year-old gentleman who presented to a district hospital with symptoms of vomiting after eating, early satiety, and upper abdominal distension. He had no other major comorbidities, nor was he on any regular medications. A CT scan of his abdomen and pelvis revealed gastric outlet obstruction, an abnormal soft tissue area with an associated stricture at D2/D3 region which was highly suspicious for an underlying duodenal cancer. Upper GI endoscopy was attempted for diagnostic purposes but challenging due to fluid-filled stomach and inability of the patient to tolerate an NG tube. Endoscopy under general anesthetic was subsequently performed with multiple biopsies taken from the abnormal duodenal area. The obstruction failed to resolve and a laparoscopic gastrojejunostomy was carried out for symptomatic relief. …