Dragan Vasin, Miona Jevtovic MD, Sabina Fiuljanin MD, Katarina Trajković MD, Tarik Plojović MD, Marković Danilo MD, Dušan Micić, Ksenija Mijovic MD, Aleksandar Pavlović MD, Dragan Mašulović
{"title":"Gastric outlet obstruction in a patient","authors":"Dragan Vasin, Miona Jevtovic MD, Sabina Fiuljanin MD, Katarina Trajković MD, Tarik Plojović MD, Marković Danilo MD, Dušan Micić, Ksenija Mijovic MD, Aleksandar Pavlović MD, Dragan Mašulović","doi":"10.1002/emp2.13285","DOIUrl":null,"url":null,"abstract":"<p>An 81-year-old man with a history of hypertension presented to the emergency department with epigastric pain, vomiting, hiccups, anorexia, and obstipation for 3 days. Physical examination was notable for a painful epigastric tenderness. Laboratory examinations revealed a white blood cell count of 22.1 (3.4–9.7)(10 × 9/L).</p><p>Plain abdominal radiography showed pneumobilia and an enlarged gastric bubble (Figure 1), and abdominal ultrasound also demonstrated an enlarged stomach with a large amount of content within a curvilinear focus of increased echogenicity with posterior shadowing in duodenal bulb (Figure 2). Subsequent computed tomography (CT) image is shown in Figure 3.</p><p>The authors declare no conflicts of interest.</p>","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491546/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American College of Emergency Physicians open","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/emp2.13285","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
An 81-year-old man with a history of hypertension presented to the emergency department with epigastric pain, vomiting, hiccups, anorexia, and obstipation for 3 days. Physical examination was notable for a painful epigastric tenderness. Laboratory examinations revealed a white blood cell count of 22.1 (3.4–9.7)(10 × 9/L).
Plain abdominal radiography showed pneumobilia and an enlarged gastric bubble (Figure 1), and abdominal ultrasound also demonstrated an enlarged stomach with a large amount of content within a curvilinear focus of increased echogenicity with posterior shadowing in duodenal bulb (Figure 2). Subsequent computed tomography (CT) image is shown in Figure 3.
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