Abstract
Gastric outlet obstruction (GOO) is invariably consequent upon intrinsic gastroduodenal pathology. Ingested foreign bodies are rarely considered to be a cause of this condition. We report possibly the first case of GOO caused by metallic foreign bodies occluding the pyloro-duodenal junction.
Highlights
Gastric outlet obstruction (GOO) is invariably consequent upon intrinsic gastroduodenal pathology
In view of the clinical suspicion of GOO, upper endoscopy was performed; this revealed several metallic objects tamponading the pylorus of a capacious stomach
Untreated or unsuspected peptic ulcer disease accounts for up to 10% of GOO
Summary
Gastric outlet obstruction (GOO) is invariably consequent upon intrinsic gastroduodenal pathology. A 40-year-old inmate of a mental sanatorium was referred with epigastric pain of 2 weeks' duration, postprandial vomiting and loss of weight of 6 weeks' duration. Apart from being treated for schizoprenia, there was no history of peptic ulcer disease or other medical ailments. In view of the clinical suspicion of GOO, upper endoscopy was performed; this revealed several metallic objects tamponading the pylorus of a capacious stomach.
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