Presentation
Underlying peptic ulcer disease. Presented with epigastric abdominal pain, postprandial vomiting and weight loss.
Patient Data
Marked distension of the stomach with fluid and food due to obstruction. The circumferential wall thickening causes occlusion of the pylorus. There is no evidence of air-fluid level within the dilated stomach. Also, the gastric wall had a featureless appearance. No mass or tumor is visible.
The small intestine is not dilated.
No CT evidence to suggest perforation.
Atherosclerotic changes in the abdominal aorta are present.
Case Discussion
Gastric outlet obstruction is an uncommon clinical condition with a wide range of benign and malignant causes.
Peptic ulcer disease remains the most common benign cause of gastric outlet obstruction.
Herein we showed a patient with epigastric pain and non-bilious vomiting. During his hospitalization endoscopy was done and showed scaring and stenosis of the pylorus secondary to peptic ulcer disease which led to gastric outlet obstruction.
Also, stomach mucosal biopsy showed atrophy and positive for H.pylori organism.