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A disconcerting false gastric diverticulum mimicking malignancy
Dhouha Bacha1, Asma Sassi1, Seifeddine Baccouche2
1Department of Pathology, Mongi Slim Teaching Hospital La Marsa, University of Tunis El Manar, Faculty of Medicine, Tunis, Tunisia.
The Pan African Medical Journal
|June 22, 2019
Summary
Gastric diverticula, rare gastrointestinal conditions, present diagnostic challenges due to nonspecific symptoms and imaging that can mimic malignancy. This case highlights a pre-pyloric diverticulum causing severe gastric obstruction, necessitating surgical intervention for definitive diagnosis.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Gastric diverticula are rare outpouchings of the stomach wall, classified as true or false based on their pathogenesis.
- Diagnosis can be difficult due to nonspecific symptoms and imaging findings that may resemble gastric malignancy.
Observation:
- A 69-year-old male presented with severe gastric outlet obstruction and poor general condition attributed to a pre-pyloric diverticulum.
- Endoscopy and imaging studies were inconclusive, raising concerns for malignancy.
Findings:
- Surgical intervention (antrectomy) was performed due to diagnostic uncertainty and severe obstruction.
- Pathological examination confirmed the diagnosis of a pre-pyloric diverticulum.
Implications:
- This case underscores the diagnostic challenges posed by gastric diverticula.
- It emphasizes the importance of pathological examination for definitive diagnosis and discusses the potential for malignant transformation in gastric diverticula.
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