Mnif Leila, Amouri Ali, Masmoudi Mohamed A, Tahri Nabil
Department of Gastroenterology, Hedi Chaker University Hospital, Sfax, Tunisia.
Tunis Med. 2010 Oct;88(10):765-6.
Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic.
We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges.
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.
Careful examination of the whole stomach at gastroscopy is recommended for not missing a diverticulum.
胃憩室是罕见的解剖学异常，通常无症状。
我们报告一例巨大胃憩室病例，并讨论诊断和治疗方面的挑战。
一名63岁男性因上腹部隐痛入院。体格检查和实验室检查均正常。内镜检查发现糜烂性胃炎以及一个从大弯后侧距食管裂孔8厘米处突出的囊袋。钡餐检查证实胃底部有一个直径5厘米的憩室。
建议在胃镜检查时仔细检查整个胃部，以免漏诊憩室。
