Large gastric diverticulum.

BACKGROUND

Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic.

AIM

We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges.

CASE REPORT

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.

CONCLUSION

Careful examination of the whole stomach at gastroscopy is recommended for not missing a diverticulum.