scholarly journals Giant Hepatic Hemangioma Presenting as Gastric Outlet Obstruction

2013 ◽  
Vol 98 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Cemalettin Aydin ◽  
Sami Akbulut ◽  
Koray Kutluturk ◽  
Aysegul Kahraman ◽  
Cuneyt Kayaalp ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Benign Tumor ◽  
Significant Proportion ◽  
Outlet Obstruction ◽  
Left Lobe ◽  
Hepatic Hemangioma ◽  
Giant Hepatic Hemangioma

Abstract Hemangioma, a most frequently encountered primary benign tumor of the liver, is generally determined incidentally during the course of radiologic tests for other reasons. Most lesions are less than 3 cm and a significant proportion of patients are asymptomatic, although the size and location of the lesion in some patients may be associated with the onset of symptoms. Pressure on the stomach and duodenum of giant hemagiomas developing in the left lobe of the liver, in particular, may result in the development of abdominal pain, nausea, vomiting, and feeling bloated, which are characteristic of a gastric outlet obstruction. A 42-year-old man presented with findings of gastric outlet obstruction and weight loss as a result of a giant hepatic hemangioma.

scholarly journals Case Report: Unusual presentation of concomitant gastric outlet obstruction and jaundice complicating giant hepatic angioma

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1355
Author(s):  
Nour Elleuch ◽  
Aya Hammami ◽  
Amira Hassine ◽  
Wafa Ben Ameur ◽  
Wafa Dahmani ◽  
...  
Keyword(s):  
Case Report ◽  
Obstructive Jaundice ◽  
Gastric Outlet Obstruction ◽  
Spontaneous Rupture ◽  
Benign Tumor ◽  
Surgical Intervention ◽  
Outlet Obstruction ◽  
Hepatic Hemangioma ◽  
Common Benign Tumor ◽  
Giant Hepatic Hemangioma

Hemangioma is the most common benign tumor affecting the liver.  The vast majority of liver hemangiomas (LH) are less than 30 mm in diameter, asymptomatic, and are most often identified incidentally during radiological investigations for other reasons. Giant LH greater than 50 mm can lead to the development of symptoms and complications that require prompt surgical intervention. Herein, we report the case of a 58-year-old man who presented with gastric outlet obstruction and obstructive jaundice as a result of a giant hepatic hemangioma that was complicated with fatal spontaneous rupture.

Bouveret syndrome: a rare cause of gastric outlet obstruction

2021 ◽  
Vol 14 (4) ◽  
pp. e240236
Author(s):  
Christopher Smith ◽  
Shailendra Singh ◽  
Paul Vulliamy ◽  
Samrat Mukherjee
Keyword(s):  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Gallstone Disease ◽  
Outlet Obstruction ◽  
Chronic Cholecystitis ◽  
Fistula Formation ◽  
Bladder Drainage ◽  
Blood Tests ◽  
History Of ◽  
Bouveret Syndrome

Bouveret syndrome is a rare cause of gastric outlet obstruction. It is characterised by the presence of an obstructing gallstone in the pylorus or proximal duodenum, which has travelled to its obstructing position via an acquired fistula. Our case involves a 73-year-old man presenting to the acute surgical take with a 2-day history of right-sided abdominal pain and vomiting. His medical history included perforated cholecystitis treated with antibiotics and percutaneous gall bladder drainage, 1 year earlier. Examination and blood tests were suggestive of gastric outlet obstruction. CT abdomen and pelvis demonstrated a large gallstone obstructing the duodenum, confirming a diagnosis of Bouveret syndrome. The patient improved following gastrolithotomy, and was discharged 2 weeks postoperatively. Fistula formation is a complication of chronic cholecystitis and therefore Bouveret syndrome should be considered in patients with a background of gallstone disease presenting with gastric outlet obstruction.

scholarly journals OESOPHAGEAL & GASTRIC CARCINOMA;

2017 ◽  
Vol 24 (08) ◽  
pp. 1105-1109
Author(s):  
Ambreen Mannan ◽  
Suhail Ahmed Soomro ◽  
Tek Chand Maheshwari ◽  
Muhammad Hussain Laghari
Keyword(s):  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Complication Rate ◽  
Outlet Obstruction ◽  
University Hospital ◽  
Electrolyte Imbalance ◽  
Billroth I ◽  
Carcinoma Of Esophagus ◽  
Carcinoma Stomach ◽  
Age Range

Objectives: To know the frequency of gastroesophageal carcinoma andits management at Isra University Hospital Hyderabad Sindh. Study Design: Descriptive,Prospective. Place and Duration of Study: Isra University Hospital Hyderabad during the periodof January 2014 to January2016. Patient and Methods: Fifty two patients with gastroesophagealmalignancy were scrutinized for elective and emergency surgery according to the stage andtumor resectability & observed for postoperative complication rate. Data is prepared in SPSSversion 17. Inclusion Criteria: Carcinoma of esophagus and stomach. Exclusion Criteria:Benign lesions of esophagus and stomach (Tuberculosis, Bourevet’s syndrome, Band ofLadd’s, Diaphragmatic Hernia, Phyto/Tricobezoar). Gastric outlet obstruction (GOO) causedby bilio pancreatic, retroperitoneal or abdominal wall mass. Results: Among fifty two patients11(22%) were with carcinoma of esophagus and 41(78%) with carcinoma stomach causingGOO; accounting 38(73%) male & 14(27%) females with age range of 29-69 years. Majorpresenting complaints of carcinoma of esophagus were progressive dysphagia from solid toliquid with significant weight loss while history of heamatemesis was found in only two patients.Carcinoma stomach mainly presented with symptoms of gastric outlet obstruction (GOO);partial or complete I.e. vomiting, fullness and epigastric mass with weight loss. Out of total 52patients; 35 were biopsied and staged preoperatively while 17 patients could not be biopsiedbefore surgery either because of inadequate tissue specimen or scope negotiation problem.However after surgery their biopsy was found out malignant. All such patients were optimizedbefore surgery for correction of hemoglobin, electrolyte imbalance and nutritional supportFeeding jejunostom & gastrojejunostomy were mainly performed for carcinoma esophagus andstomach while for resectable tumors Ivor Lewis, McKeon or Billroth I or II were also performedaccording to the general patient condition and the local resectability of the tumor mass. Ourpost-operative complication rate was 26% and comprised nausea, vomiting, wound infection,and delayed gastric emptying which were treated conservatively. Our operative mortality wasnone. Conclusion: Most of our cases were in advanced stage of malignancy which was mainlydealt with Feeding jejunostomy & Gastrojejunostomy. However Esophagogastric intubation inadvanced malignancy is the safe & effective alternative if available.

scholarly journals PROFILE OF GASTRIC MALIGNANCIES PRESENTING AS GASTRIC OUTLET OBSTRUCTION – A ONE AND A HALF YEAR PROSPECTIVE STUDY FROM KASHMIR VALLEY

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Nisar Hussain Hamdani ◽  
Sumyra Khurshid Qadri ◽  
Zeeshan A Wani ◽  
Syed Asif A Shah ◽  
Sonaullah Kuchay
Keyword(s):  
Gastric Cancer ◽  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Delayed Gastric Emptying ◽  
Outlet Obstruction ◽  
Pulmonary Complications ◽  
Common Symptom ◽  
Kashmir Valley ◽  
Medical College ◽  
Age Range

Background: Gastric adenocarcinoma is one of the frequent cancers seen in Kashmir valley. Patients often present with advanced disease and Gastric Outlet obstruction (GOO). We studied the profile and management of patients presenting with malignant GOO due to Gastric cancer at our center. Methods: A prospective one and half year study from May 2018 to Dec 2019 was done in the Department of Surgical Gastroenterology, Government Medical College, Srinagar. All adult patients with clinical and endoscopic evidence of malignant gastric outlet obstruction and features of gastric cancer were included. Results: Twenty three patients with GOO due to Gastric malignancies were noted in this period with a M:F ratio of 1.9:1 and age range of 32 to 79 years. Vomiting was the most common symptom present in 83 % patients followed by early satiety which was present in 74% of cases. Though patients gave history suggestive of weight loss but only 17 % patients had a documented weight loss. Palliative gastrojejunostomy was done in 21 patients and Radical Distal gastrectomy was done in 2 patients. Surgical site infection was the most common (06 cases; 26%) complication in our group followed by delayed gastric emptying (04 cases; 17.4%) and pulmonary complications (03 cases; 13%). Conclusion: Gastrojejunostomy offers good palliation of symptoms in patients with GOO due to GC. It can be offered with equally good results by laparoscopic access.

scholarly journals A rare case of primary gastric tuberculosis presenting as gastric outlet obstruction mimicking malignancy

2018 ◽  
Vol 4 (10) ◽  
pp. 263
Author(s):  
Kanika Singh ◽  
Sujata Raychaudhuri ◽  
Sheetal Gole ◽  
Anu Aggarwal
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Rare Condition ◽  
Surgical Excision ◽  
Giant Cells ◽  
Endoscopic Biopsy ◽  
Gastric Tuberculosis

<p>Gastric tuberculosis (TB), both primary and secondary is a rare condition. It is less common in immunocompetent individuals and in those without any antecedent pulmonary infection. The nonspecific complaints like epigastric pain, vomiting and weight loss may be confounding and lead to difficulty in diagnosis and differential diagnosis may include adenocarcinoma. We present a case of an immunocompetent male who presented with the above mentioned symptoms and on endoscopy showed an ulcerated region in the pyloric antrum with gastric outlet obstruction. A differential diagnosis of adenocarcinoma was suggested by the clinician. The endoscopic biopsy revealed granulomas and giant cells with no evidence of dysplasia. However, Ziehl-Neelson stain for acid fast bacilli was negative. The diagnosis of gastric tuberculosis was confirmed on Polymerase chain reaction (PCR) test for TB. A possibility of gastric tuberculosis should always be kept in mind in an endemic country like India with nonspecific abdominal complaints like epigastric pain, weight loss, vomiting etc. along with other differential diagnosis. A correct clinicopathological diagnosis would help in the appropriate treatment of the patient and would prevent unnecessary surgical excision.</p>

scholarly journals Duplication Cyst in the Third Part of the Duodenum Presenting with Gastric Outlet Obstruction and Severe Weight Loss

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Osama Shaheen ◽  
Samer Sara ◽  
Mhd Firas Safadi ◽  
Bayan Alsaid
Keyword(s):  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Duplication Cyst ◽  
Upper Endoscopy ◽  
Developmental Abnormality ◽  
The Third ◽  
Duodenal Duplication ◽  
Adjacent Structures ◽  
Infancy And Childhood

Duodenal duplication is a rare developmental abnormality which is usually diagnosed in infancy and childhood, but less frequently in adulthood. We report a case of a 16-year-old female with a duplication cyst in the third part of the duodenum. The patient presented with symptoms of gastric outlet obstruction, including severe anorexia and weight loss. The diagnosis was made preoperatively by CT scan and upper endoscopy. The cyst was successfully treated by marsupialization on the duodenum using a GIA stapler. Duodenal duplication presents with a wide variety of symptoms. Although illusive, many cases can be properly diagnosed preoperatively by using the appropriate imaging modalities. Treatment choices are tailored according to the size and location of the cyst, in addition to its relation to adjacent structures. The outcomes are favorable in the majority of patients.

Life-Threatening Gastric Outlet Obstruction after Placement of an Intra-gastric Balloon for Weight Loss

2016 ◽  
Vol 111 ◽  
pp. S712
Author(s):  
Charles V. Welden ◽  
Jordan Orr ◽  
Mohamed Shoreibah ◽  
Adam Edwards ◽  
Chad Burski ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Gastric Balloon ◽  
Life Threatening

scholarly journals Gastro-Intestinal Stromal Tumour presenting as Gastroduodenal Intussusception

2014 ◽  
Vol 4 (1) ◽  
pp. 71-75
Author(s):  
K Taori ◽  
J Rathod ◽  
A Disawal ◽  
R Parate ◽  
A Hatgaonkar ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Stromal Tumour ◽  
Gastrointestinal Stromal Tumours ◽  
Abdominal Ct ◽  
Intermittent Abdominal Pain ◽  
Gastroduodenal Intussusception

Gastrointestinal stromal tumours (GISTs), are relatively common tumours of the gastrointestinal tract, most commonly found in the stomach. Previously they were termed as leiomyomas and leiomyosarcomas. Clinically, they are asymptomatic but may cause abdominal pain or bleeding from ulceration of the overlying mucosa. We present a case of gastroduodenal intussusception secondary to large gastric stromal tumour in a 50 year old male, which presented with intermittent abdominal pain and gastric outlet obstruction. Pre-operative diagnosis was made on abdominal CT and confirmed at laparotomy. DOI: http://dx.doi.org/10.3126/njr.v4i1.11573 Nepalese Journal of Radiology, Vol.4(1) 2014: 71-75

scholarly journals A245 IGG4- RELATED DISEASE AS A RARE CAUSE OF GASTRIC OUTLET OBSTRUCTION: A CASE REPORT AND LITERATURE REVIEW

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 303-304
Author(s):  
A Almudaires ◽  
M Alzahrani ◽  
L Chen ◽  
K Qumosani
Keyword(s):  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Nausea And Vomiting ◽  
Related Disease ◽  
Igg4 Related Disease ◽  
Duodenal Stricture ◽  
Wide Range ◽  
Serum Igg4 ◽  
Inflammatory Changes

Abstract Background IgG4- related disease (IgG4-RD) is a newly recognized systemic fibroinflammatory condition that can affect a wide range of organs, including the pancreas, biliary system, retroperitoneum, lymph nodes and salivary glands. However, gastrointestinal luminal involvement is very rare, and the presentation with isolated gastrointestinal obstruction is extremely unusual. Aims We present a case of IgG4-RD presenting with gastric outlet obstruction secondary to severe duodenal stricture. Methods A 59-year-old female presented with 6 months history of abdominal pain, postprandial nausea and vomiting associated with significant weight loss. CT showed circumferential wall thickening of the 2ndand 3rd parts of the duodenum with gastroscopy showing severe ulcerated duodenal stricture that could not be passed through. Biopsies from the ulcerated area did not reveal a specific etiology, but malignancy could not be excluded, and the decision was made to pursue surgical management with Whipple’s procedure. Surgical pathology revealed IgG4 related disease in the form of an ulcerated gastric mass invading the duodenum and the pancreas with normal serum IgG4 level. Postoperatively, the patient developed anastomotic leak that was managed conservatively with antibiotics and drainage resulting in significant improvement in her symptoms. MRCP did not show any pancreatic or biliary abnormalities. Results A few weeks later, she represented with abdominal pain as well as nausea and vomiting. CT scan revealed severe inflammatory changes at the anastomosis site with mucosal thickening concerning for persistent leak. However, as she was optimally treated before, it was concluded that these changes are likely related to recurrent IgG4-RD. To induce remission, prednisone was started with remarkable improvement in her symptoms within two weeks, and complete resolution of the previous inflammatory changes around the anastomosis on repeat imaging. Subsequently, she was started on mycophenolate mofetil (MMF) with a slow prednisone taper. Conclusions IgG4-RD involving the gastrointestinal tract is rare with rare cases reported in the literature presenting in variable ways. Our case demonstrates the possibility of IgG4-RD presenting as gastric outlet obstruction; IgG4-RD should be considered in the differential diagnosis of unexplained duodenal stricture or gastric outlet obstruction. IgG4-RD usually responds to steroids but long-term response rates to steroid-sparing agents, especially in the subset of patients with luminal IgG4-RD, remains to be seen. Funding Agencies None

scholarly journals Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Alvin Chang ◽  
Brianna Ruch ◽  
Aamir Khan ◽  
Marlon Levy ◽  
Amit Sharma
Keyword(s):  
Weight Loss ◽  
Surgical Intervention ◽  
Hepatic Tumor ◽  
Hepatic Hemangioma ◽  
Large Size ◽  
Surveillance Imaging ◽  
Giant Hepatic Hemangioma ◽  
Current Guidelines ◽  
Hepatic Hemangiomas ◽  
Observation Period

Hepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver hemangiomas (>5 cm). We present the case of a patient with a rapidly enlarging giant hepatic hemangioma initially managed by surveillance. During her observation period, she developed weight loss, constipation, and pancytopenia concerning for Kasabach-Merritt Syndrome. Resection of the hemangioma was complicated by its large size (28.0×18.0×11.4 cm). Patients with rapidly growing giant liver hemangiomas, even when asymptomatic, should be promptly referred to specialized surgical centers for evaluation and management.

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