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Gastric outlet obstruction from benign ulcer

O'Donnell MTMO - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastric outlet obstruction from benign ulcer

History: This 64 y.o. woman has a 4 day history of increasing frequency of vomiting and increasing abdominal distension. She has had 3-4 weeks of intermittent nausea and vomiting during rehab for joint replacement Her vomiting increased over the last 4 days to a maximum 12 times in the last 24 hrs PMH: Crohn’s disease, MS, Bladder CA, GERD, Osteoporosis Surgeries: Cholecystectomy, R knee replacement x 2 (infected)

Findings: AThere is a constricting lesion present in the pylorus with proximal distension of an atonic stomach full of a large number of retained pills and fluid. A nasogastric tube is in place within the stomach. There are surgical clips from her prior cholecystectomy.

Ddx: • Gastroenteritis • Gastric outlet obstruction • Gastric bezoar • Gastroparesis

Dxhow: Endoscopy showed a 1.5 cm benign ulcer

Exam: Abdomen: Non-tender, mildly distended, BS active, no fluid wave, bruising or jaundice Otherwise unremarkable LABS: CMP 144/2.6/99/21/8/0.4<54 Other labs all WNL

No MeSH data available.


The stomach is distended with retained secretions, including innumerable un-digested tablets.
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MPX2179_synpic52844: The stomach is distended with retained secretions, including innumerable un-digested tablets.


Gastric outlet obstruction from benign ulcer

O'Donnell MTMO - MedPix (2010)

The stomach is distended with retained secretions, including innumerable un-digested tablets.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2179&req=5

MPX2179_synpic52844: The stomach is distended with retained secretions, including innumerable un-digested tablets.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastric outlet obstruction from benign ulcer

History: This 64 y.o. woman has a 4 day history of increasing frequency of vomiting and increasing abdominal distension. She has had 3-4 weeks of intermittent nausea and vomiting during rehab for joint replacement Her vomiting increased over the last 4 days to a maximum 12 times in the last 24 hrs PMH: Crohn’s disease, MS, Bladder CA, GERD, Osteoporosis Surgeries: Cholecystectomy, R knee replacement x 2 (infected)

Findings: AThere is a constricting lesion present in the pylorus with proximal distension of an atonic stomach full of a large number of retained pills and fluid. A nasogastric tube is in place within the stomach. There are surgical clips from her prior cholecystectomy.

Ddx: • Gastroenteritis • Gastric outlet obstruction • Gastric bezoar • Gastroparesis

Dxhow: Endoscopy showed a 1.5 cm benign ulcer

Exam: Abdomen: Non-tender, mildly distended, BS active, no fluid wave, bruising or jaundice Otherwise unremarkable LABS: CMP 144/2.6/99/21/8/0.4<54 Other labs all WNL

No MeSH data available.