Abstract
A gastric diverticulum is a pouch protruding from the gastric wall. The vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding makes this condition a diagnostic challenge. We present a case of large gastric diverticulum that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope. A 51-year-old man presented to the medical department due to a syncopal episode occurring while he was resting on the beach after having his lunch, with concomitant vague epimesogastric gravative pain without any other symptom. A diagnosis of neuromediated syncopal episode was made by the cardiologist. Due to the referred epimesogastric pain, an abdominal ultrasound scan was carried out, showing perisplenic fluid. A CT scan of the abdomen was performed to exclude splenic lesions. The CT scan revealed a large diverticulum protruding from the gastric fundus. The upper gastrointestinal endoscopy visualized a large diverticular neck situated in the posterior wall of the gastric fundus, partially filled by undigested food. The patient underwent surgery, with an uneventful postoperative course. Histologic examination showed a full-thickness stomach specimen, indicative of a congenital diverticulum. At the 2nd month of follow-up, the patient was asymptomatic.
Highlights
A gastric diverticulum (GD) is a pouch protruding from the gastric wall, first described by Moebius in 1661 and later by Roax in 1774 [1]
The lack of pathognomonic symptoms and the vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding make this condition a diagnostic challenge for physicians and surgeons [6]
We present the case of a large GD that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope
Summary
A gastric diverticulum (GD) is a pouch protruding from the gastric wall, first described by Moebius in 1661 and later by Roax in 1774 [1]. It is the least common diverticulum of the gastrointestinal tract, GD has similar characteristics to duodenal, jejunal, and colonic diverticula [2]. It is a rare and uncommon clinical condition, with a prevalence of 0.03–0.1% in contrast upper gastrointestinal radiographs, 0.01–0.1% in upper gastrointestinal endoscopy, and 0.03–0.3% in autoptical reports [3]. We present the case of a large GD that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
