Published January 20, 2020 | Version v1
Journal article Open

Incidental Gastric Diverticulum in an Elderly Male with Chronic Dyspepsia

  • 1. Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.
  • 2. Department of Radiology, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.

Description

Abstract

Gastric diverticula are usually asymptomatic. When symptoms surface, they are mostly upper abdominal pain, nausea, and vomiting, while dyspepsia is less common. In this case, there was determined as an incidental of gastric diverticula that was managed by medical treatment. 70-year-old male came to our clinic complaining chronic epigastric pain and dyspepsia, with no known co-morbidities. Esophagogastroduodenoscopy and tomography were performed at diagnosis. Medical treatment (proton pump inhibitor) was started and followed because the gastric diverticulum was 2 cm below. The patient is still under follow-up and has no clinical findings.

Özet

Gastrik divertiküller genellikle asemptomatiktir. Semptomlar ortaya çıktığında, çoğunlukla üst karın ağrısı, bulantı ve kusma olurken, dispepsi daha az görülür. Bu olguda da tıbbi tedavi ile yönetilen bir gastrik divertikül insidental olarak saptanmıştır. 70 yaşında erkek hasta bilinen bir morbiditesi olmayan kronik epigastrik ağrı ve dispepsi şikayeti ile kliniğimize başvurdu. Tanıda, özofagogastroduodenoskopi ve tomografi yapıldı. Gastrik divertikül, 2 cm altında olduğundan medikal tedaviye (proton pompa inhibitörü) başlandı ve takip edildi. Hasta halen takip edilmekte ve klinik bulgusu da bulunmamaktadır.

Notes

Kronik Dispepsili Yaşlı Erkek Hastada İnsidental Saptanan Gastrik Divertikül

Files

lms.2022.6.pdf

Files (318.8 kB)

Name Size Download all
md5:182cc21a80b92646f16cdc2b72591193
318.8 kB Preview Download

Additional details

References

  • ‎1. Rashid F, Aber A, Iftikhar SY. A review on gastric ‎diverticulum. World J Emerg Surg 2012; 7(1): 1. ‎
  • ‎2. Palmer ED. Gastric diverticulosis. Am Fam Physician ‎‎1973; 7: 114-7‎.
  • ‎3. Baloyi ER, Rose DM, Morare NMT. Incidental gastric ‎diverticulum in a young female with chronic gastritis: A ‎case report. Int J Surg Case Rep 2019; 66: 63-7. ‎
  • ‎4. Shah J, Patel K, Sunkara T, Papafragkakis C, ‎Shahidullah A. Gastric Diverticulum: A Comprehensive ‎Review. Inflamm Intest Dis 2019; 3(4): 161-6. ‎
  • ‎5. DuBois B, Powell B, Voeller G. Gastric diverticulum: "a ‎wayside house of ill fame" with a laparoscopic solution. ‎JSLS 2012; 16(3): 473-7. ‎
  • ‎6. Marano L, Reda G, Porfidia R, Grassia M, Petrillo M, ‎Esposito G, et al. Large symptomatic gastric diverticula: ‎two case reports and a brief review of literature. World J ‎Gastroenterol 2013; 19(36): 6114-7. ‎
  • ‎7. Palmer ED. Gastric diverticula. Int Abstr Surg 1951; ‎‎92: 417-28. ‎
  • ‎8. Fork FT, Tóth E, Lindström C. Early gastric cancer in a ‎fundic diverticulum. Endoscopy 1998; 30(1): S2. ‎