Large gastric diverticulum

##plugins.themes.academic_pro.article.sidebar##

Published Oct 1, 2010
Download
pdf
Vol. 88 No. 10 (2010): Issue Oct 2010

##plugins.themes.academic_pro.article.main##

Leila Mnif
Ali Amouri
Mohamed A Masmoudi
Nabil Tahri
Department of gastroenterology University Hospital Hedi Chaker Sfax Tunisia

Abstract

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.

Keywords:

stomach, diverticulum, gastroscopy

##plugins.themes.academic_pro.article.details##

References

  1. Gockel I, Thomschke D, Lorenz D. Gastrointestinal: Gastric diverticula. J Gastroenterol Hepatol. 2004; 19: 227.
  2. Tsuchigame T, Ogata I, Mitsuzaki K, et al. Clinical evaluation of gastric diverticulum on indirect radiograph for gastric mass survey. Nippon Igaku Hoshasen Gakkai Zasshi. 2003 ; 63 : 36- 40.
  3. Simon M, Zuber-Jerger I, Schölmerich J. True gastric diverticulum. Dig Liver Dis. 2009; 41: 370.
  4. Lajoie A, Strum WB. Gastric diverticulum presenting as acute hemorrhage. Gastrointest Endosc. 2008; 67: 175 - 6.
  5. Fork FT, Toth E, Lindstrom C. Early gastric cancer in a fundic diverticulum. Endoscopy. 1998; 30: S 2.