Gastroparesis

Case contributed by Dr Michael P Hartung

Presentation

Abdominal distension.

Patient Data

Age: 25 years
Gender: Male
CT

Presentation

Stomach massively distended with fluid and air, filling the abdominal cavity. No cause for gastric obstruction. 

X-ray

Nasogastric tube placement

Nasogastric tube in good position. 

Stomach massively distended, could be at first mistaken for pneumoperitoneum. 

Case Discussion

Patient with chronic illness (including diabetes) and recurrent gastroparesis. Stomach appeared normal just a few weeks previously (not shown), but he had a history of recurrent events such as this. Without such a supporting history, a malignant obstruction would be a greater concern. This case illustrates how dramatically the stomach can distend and fill the entire abdominal cavity. 

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Case information

rID: 71147
Published: 20th Sep 2019
Last edited: 29th Sep 2019
Inclusion in quiz mode: Included

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