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A rare cause of gastric outflow obstruction

24 Jul, 17 | by abhichauhan

A 78-year old lady with a previous history of oesophagectomy for adenocarcinoma, was referred with symptoms of epigastric pain, post-prandial vomiting and weight loss. OGD after a prolonged fast revealed erosions in the gastric conduit (image A) and the impression of external indentation at the antrum but no stenoses. Biopsies revealed chronic inflammation with no evidence of dysplasia or malignancy. A barium meal and CT abdomen were ordered and the results are shown in image B and C respectively.
What is the cause of gastric outflow obstruction?

 

 

Dr Isabel Carberry 1, Dr Jim Zhong 2, Dr Nick E Burr 1, Dr Damian JM Tolan 2

and Dr Venkat Subramanian 1

Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS trust, Leeds, United Kingdom 1

Department of Clinical Radiology, St James’s University Hospital, Leeds Teaching Hospitals NHS trust, Leeds, United Kingdom 2

Corresponding author

Dr Venkataraman Subramanian

Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, LS9 7TF

v.subramanian@leeds.ac.uk

 

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