1/7. gastric outlet obstruction caused by a giant gastroduodenal artery aneurysm: a case report.Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal lesions or pancreatic tumours. This study describes a case of a 77-year-old man who developed GO obstruction due to extrinsic compression from a large gastroduodenal artery aneurysm under rupture. This cause of GO obstruction has never previously been reported in the literature.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/7. Giant adrenal pseudocyst presenting with gastric outlet obstruction and hypertension.Adrenal pseudocysts are rare lesions that are usually nonfunctioning and asymptomatic. We describe a patient who presented with nonspecific upper abdominal pain, vomiting, and hypertension. ultrasonography and computed tomography revealed a giant left adrenal cyst. Routine laboratory tests and endocrine function tests were all normal. The patient underwent surgery, and the cyst was completely removed. Histologic examination showed that the cystic wall consisted of fibrous tissue without an epithelial or endothelial lining, and a diagnosis of an adrenal pseudocyst was made. Symptoms of pyloric obstruction resolved after pseudocyst removal. His blood pressure normalized and he was normotensive and symptom free 6 years after surgery.- - - - - - - - - - ranking = 0.25keywords = giant (Clic here for more details about this article) |
3/7. Giant duodenal gallstone presenting as gastric outlet obstruction: Bouveret's syndrome.In a 91 year old woman with nausea and vomiting, the diagnosis of Bouveret's syndrome was considered when a barium meal disclosed a cholecystoduodenal fistula and a giant filling defect in the duodenum. Because of her age and underlying medical illness, operative therapy was initially deferred. Repeated attempts to remove the intermittently obstructing duodenal gallstone endoscopically were unsuccessful using both endoscopic retrograde cholangiopancreatography retrieval baskets and an endoscopic mechanical lithotripter. The patient was referred for definitive operative therapy, and was discharged after a successful and uneventful enterolithotomy.- - - - - - - - - - ranking = 0.25keywords = giant (Clic here for more details about this article) |
4/7. Multiple giant duodenal gallstones causing gastric outlet obstruction: Bouveret's minefield revisited.gastric outlet obstruction caused by a gallstone impacted in the duodenum is a rare entity known as Bouveret's syndrome. We report the unusual case of multiple large gallstones impacted in the duodenum from a cholecystoduodenal fistula in an 83-year-old lady. A high index of suspicion allowed for prompt diagnosis. Early surgical intervention was instituted because if the size and number of gallstones with an excellent outcome. The surgical strategies and underlying pitfalls underlying the management of this syndrome are critically reviewed and discussed.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/7. Paradoxical inflammatory reaction to Seprafilm: case report and review of the literature.This report describes a paradoxical inflammatory reaction to Seprafilm caused by extensive adhesion formation early in the postoperative period. A female patient had development of small bowel obstruction immediately after an uneventful low anterior resection for rectal carcinoma with placement of Seprafilm. The obstruction did not improve with nonoperative therapy. At laparotomy, extensive adhesions necessitating bowel resection and ileostomy were noted. pathology results showed a giant cell foreign body reaction to Seprafilm. A literature search yielded only two other instances of adverse reactions to Seprafilm. The information provided by this and other atypical reports suggests that further studies aimed at identifying the incidence and pathophysiological mechanisms for such paradoxical reactions are needed.- - - - - - - - - - ranking = 0.25keywords = giant (Clic here for more details about this article) |
6/7. gastric outlet obstruction due to giant hyperplastic gastric polyps.Hyperplastic gastric polyps account for the majority of benign gastric polyps. The vast majority of these lesions are small, asymptomatic, and found incidentally on radiologic or endoscopic examination. Giant hyperplastic gastric polyps are uncommon and most of them are asymptomatic. A 73-year-old man presented with a 6 cm pedunculated hyperplastic polyp that had led to progressive gastric outlet obstruction. It had a distinctive appearance on double-contrast barium studies, appearing as a conglomerate mass with smooth and multiple lobulated components and trapping of barium in the interstices between lobules. endoscopy and computed tomography revealed similar features. Although hyperplastic gastric polyps are typically benign, total removal of this giant polyp should be undertaken in cases of symptomatic gastric outlet obstruction, followed by pathologic confirmation of benign nature.- - - - - - - - - - ranking = 1.25keywords = giant (Clic here for more details about this article) |
7/7. Giant gastric ulcers: an unusual manifestation of Crohn's disease.We report a patient with Crohn's disease manifesting as recurrent giant gastric ulcers, with subsequent perforation and gastric outlet obstruction. The ulcers contained granulomas, and the patient was achlorhydric. To our knowledge, this is the first report of giant ulcers in a patient with gastric Crohn's disease. This case demonstrates another gastric manifestation of Crohn's disease, it documents nonmalignant gastric ulcers in the setting of achlorhydria, and it raises the possibility of Crohn's disease in the differential diagnosis of giant gastric ulcers refractory to medical management.- - - - - - - - - - ranking = 0.75keywords = giant (Clic here for more details about this article) |