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Search Results for => gastric ulcer <= Result Items 1 - 20
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Case ID: 13505

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DiagnosisGastric outlet obstruction from pyloric stenosis as result of anti-inflammatory induced peptic ulcers
HistoryHigh NG tube output; history of multiple sclerosis, Crohn, on anti-inflammatories.
FindingsAbdominal Radiographs: Paucity of abdominal bowel gas; nonspecific air-fluid level right upper quadrant CT coronal reconstruction: numerous pills in the stomach
Differential DxGastric dysmotility Gastric outlet obstruction (malignancy, peptic ulcer disease, Crohn)
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ContributorDavid Heltzel :: National Capital Consortium - Author Info
ReviewerMaya Sahajwalla :: National Naval Medical Center Bethesda - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 13493

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DiagnosisGastric outlet obstruction from benign ulcer
HistoryThis 64 y.o. woman has a 4 day history of increasing frequency of vomiting and increasing abdominal distension. She has had 3-4 weeks of intermittent nausea and vomiting during rehab for joint replacement Her vomiting increased over the last 4 days to a maximum 12 times in the last 24 hrs PMH: Crohn’s disease, MS, Bladder CA, GERD, Osteoporosis Surgeries: Cholecystectomy, R knee replacement x 2 (infected)
FindingsAThere is a constricting lesion present in the pylorus with proximal distension of an atonic stomach full of a large number of retained pills and fluid. A nasogastric tube is in place within the stomach. There are surgical clips from her prior cholecystectomy.
Differential Dx• Gastroenteritis • Gastric outlet obstruction • Gastric bezoar • Gastroparesis
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ContributorMary Teresa M O'Donnell :: Uniformed Services University - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 13365

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DiagnosisPenetrating gastric ulcer (into pancreas) Helicobacter pylori gastritis
HistoryThis is a 13 y.o. boy with recurrent iron deficiency anemia since age four, managed with chronic iron supplementation. Recent recurrence of anemia in the last 6 weeks accompanied by epigastric pain, and several episodes of emesis. Two episodes of vomiting contained blood (hematemesis).
FindingsAbdominal ultrasound: Hypoechoic heterogeneous mass in the head of the pancreas extending along the body of the pancreas with reactive lymph nodes anterior to the pancreas head. Abdominal CT with contrast: Enlarged pancreatic head with edema at the junction of the head and body and disruption anteriorly. Marked gastric wall thickening and distention with a collection of fluid along the posterior stomach wall.
Differential DxGastric Ulcer disease (H. pylori vs hyperacidity) • Trauma with pancreatic laceration • Walled-off perforation • Pancreatic pseudocyst • Pancreatitis
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ContributorLindsay M Stollings :: Childrens Hospital of Dayton, OH - Author Info
ReviewerDawn E Light :: Childrens Hospital of Dayton, OH - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 8222

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DiagnosisBenign Gastric Ulcer
History50 year old African American female with no past medical history complains of burning epigastric pain one to two hours after eating a meal for the last month. States to have occasional nausea and vomiting with the pain and symptoms have increased in frequency over the last two weeks. Patient states she has had some relief with over the counter antacids but felt it was time to see a doctor who prescribed Prilosec and told her to schedule an air-contrast upper GI study. Patient denies any alcohol but has smoked a pack a day for the last 30 years
FindingsUnder fluoroscopic guidance an air contrast upper GI series was performed. A small ulcer is detected in the body of the stomach with smooth radial folds. This ulcer is highly suspicious of a benign gastric ulcer. The pylorus, duodenal bulb and sweep (not shown) all appear unremarkable
Differential DxBenign Gastric Ulcer H. pylori peptic disease Gastritis Hyperparathyroidism Zollinger-Ellison syndrome
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ContributorCory Zachary Trivax M.D. :: - Leave Blank - - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 3064

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DiagnosisBenign gastric ulcers.
HistoryThis patient presented with epigastric pain, anemia, occasional nausea, vomiting and hematemesis (Film .1). Film .2 was taken 6 weeks later. Describe the lesion and give your diagnosis.
Findings(Films .1 and .2): There is a large ulcer crater on the greater curvature aspect of the distal stomach. There are multiple folds radiating to the edge of the ulcer crater. All the folds taper gradually to the edge of the crater. The crater itself extends beyond the outlines of the gastric lumen. Film .2, taken six weeks later, shows multiple radiating folds from a small collection of barium. This small collection of barium in fact is a scar from the previous ulceration. This was proven on endoscopy. The barium examination is equivocal in terms of whether or not healing is complete. (Films courtesy of Dr. D.G. Mather).
Differential Dx
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ContributorGastrointestinal Learning File - © ACR :: ACR Learning File® - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 2998

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DiagnosisPneumoperitoneum secondary to a perforated gastric ulcer. Other examples of free air are included.
HistoryThis middle-aged man presented with a four hour history of acute abdominal pain. On physical examination the abdomen was rigid. Review Films .1 .3 first.
FindingsThere is dilatation of multiple small bowel loops. The serosal surface of the bowel can be easily identified, particularly in the periphery of the abdominal cavity. There is air outlining the edge of the liver and triangular shaped collections of air in between bowel loops can be seen to the left of S1 and just above the symphysis pubis. At surgery the patient had a perforated gastric ulcer.
Differential Dx
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ContributorGastrointestinal Learning File - © ACR :: ACR Learning File® - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 2979

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DiagnosisLarge gastric ulcer on plain film.
HistoryThis 58-year-old man presented with a one month history of epigastric pain associated with weight loss. Review Film .1 first and identify the abnormal gas collection.
FindingsThere is an abnormal gas collection medial to the stomach with associated mass effect on the lesser curvature. Incidentally identified is a small focus of radiodensity in the right mid-abdomen which is not of clinical significance. An upper GI series (Film .2) demonstrates a large gastric ulcer along the lesser curvature of the stomach. Surgery was performed and the ulcer was benign.
Differential Dx
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ContributorGastrointestinal Learning File - © ACR :: ACR Learning File® - Author Info
Reviewer :: - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 2659

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DiagnosisStomach antrum adenocarcinoma with ulcer (Malignant gastric ulcer)
HistoryA 48-year-old white male smoker presented with intermittent epigastric pain - exacerbated by eating.
FindingsThe gastric wall near the pylorus is irregular and does not have normal folds. The pylorus is thickened. Near the pylorus there are collections of contrast that are irregular and do not follow the expected contour of lumen. Some may be within ulcers. On close inspection, thin linear collections of barium appear to outline a large filling defect (mass) within the stomach. One of the contrast collections is seen centrally in relationship to this mass. (See detail.) Gastroesophageal reflux is noted incidentally.
Differential DxBenign gastric ulcer Gastric neoplasm with ulcer (possible malignant ulcer)
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ContributorPaul J Cunningham :: Madigan Army Medical Center - Author Info
Reviewer :: - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
Case ID: 2242

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DiagnosisMalignant Gastric Ulcer
HistoryLong standing GERD
Findings
Differential Dx
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ContributorJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Author Info
Reviewer :: - Editor Info
Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted:
9 Search Results for => gastric ulcer <= Result Items 1 - 20
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