An Unusual Case of Gastric Outlet Obstruction in a Ghanaian Woman

• 作者: Faizal Z. Asumda Henry Obaka Joachim Amoako Nelson Affram Wordui Theodore
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: Neck-Pendant Chronic DUODENAL ULCER Gastric Outlet OBSTRUCTION
• 年，卷（期）: 2017,（7）
• 页码范围: 206-210
• 页数: 5页
• 分类号: R73

摘要

Foreign body ingestion is an uncommon cause of gastric outlet obstruction in adults. Not all ingested objects pass the gastrointestinal tract spontaneously. In most cases, endoscopic removal is required. A surgical approach is required if endoscopic removal is unsuccessful or in the event of a complication. We present a case of a 45-year-old woman, previously diagnosed endoscopically with chronic duodenal ulcer with pyloric stenosis, who presented with copious effortless offensive non-bilious vomiting, and epigastric pain of three weeks’ duration. She was dehydrated with positive gastric succussion splash. Esophago-gastro-duodenoscopy showed an impacted neck-pendant occluding a stenosed pylorus which dislodged on attempts to extract it and was later excreted in the stool, with resolution of her symptoms.