scholarly journals A Rare Case of Gastric Outlet Obstruction due to Large Intramural Duodenal Hematoma Following Endotherapy for Bleeding Duodenal Ulcer in a Patient with End-stage Renal Disease

2017 ◽  
Vol 08 (04) ◽  
pp. 199-201
Author(s):  
Vineet Kumar Gupta ◽  
Ram Chandra Soni

ABSTRACTWe report a very rare case and probably the first from India of gastric outlet obstruction due to a large intramural duodenal hematoma following combination endotherapy with hemoclipping and injection adrenaline 1:10,000 for actively bleeding duodenal ulcer in an elderly male patient with diabetes, hypertension, and end.stage renal disease on maintenance hemodialysis. The patient improved to approximately 6 weeks of conservative treatment with nasojejunal feeding.

2020 ◽  
Vol 7 (6) ◽  
pp. 2062
Author(s):  
Abhishek Murali ◽  
Rohit Krishnappa ◽  
Rajesh B. Murugesh ◽  
S. Rajagopalan

Gastric outlet obstruction is the clinical and pathophysiological consequence of any disease process that produces mechanical impediment to gastric emptying. It may be acute from inflammatory swelling and peristaltic dysfunction or chronic from cicatrix. Chronic inflammation of the duodenum may lead to recurrent episodes of healing followed by repair and scarring ultimately leading to fibrosis and stenosis of the duodenal lumen. We would like to present a unique case of an elderly lady presenting with intractable vomiting over 3 months, gradually progressive which aggravated on consuming solids initially to consuming liquids later. After thorough investigations a provisional diagnosis of chronic duodenal ulcer with gastric outlet obstruction probably due to cicatrix was made. On laparotomy there was a chronic scarred duodenal ulcer following a previously contained perforation which was causing the gastric outlet obstruction. Cholecystectomy, duodenoplasty and loop gastrojejunostomy was performed with no complications post-operatively. This is a rare case of previous contained duodenal perforation causing gastric outlet obstruction.


2021 ◽  
Vol 91 (12) ◽  
pp. 2854-2855
Author(s):  
Shaun Wen Yang Chan ◽  
Chun Hai Tan ◽  
Kheng Tian Lim

2019 ◽  
Vol 58 (9) ◽  
pp. 1267-1271
Author(s):  
Tesshin Ban ◽  
Hiroshi Kawakami ◽  
Yoshimasa Kubota ◽  
Atsushi Nanashima ◽  
Koichi Yano ◽  
...  

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