Abstract

Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic.We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges.A 63-year-old man was admitted with vague epigastric discomfort. Physical examination and laboratory investigations were normal. Endoscopy revealed an erosive gastropathy and a pouch arising from the posterior aspect of the greater curve, 8 cm from the hiatus. Barium meal confirmed the presence of a 5 cm diameter diverticulum arising from the gastric fundus.Careful examination of the whole stomach at gastroscopy is recommended for not missing a diverticulum.

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