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Gastric ectopic pyloric opening: an unusual case
1Department of Radiology, People's Hospital of Xingtai City, No. 16 Hongxing Street, Xingtai, 054031, Hebei, China. b_l18@outlook.com.
Surgical and Radiologic Anatomy : SRA
|July 3, 2019
Summary
A rare case of pyloric ectopic opening in the stomach body was found in a 72-year-old man with a "hammer" shaped stomach. This finding adds a new gastric morphological variation to medical literature.
Area of Science:
- Gastroenterology
- Anatomical Pathology
Background:
- The stomach, a highly adaptable organ, exhibits diverse morphologies. While pyloric abnormalities like stenosis are documented, ectopic openings are previously unreported.
- Understanding gastric anatomical variations is crucial for accurate diagnosis and treatment.
Observation:
- A 72-year-old male presented with upper left abdominal pain and a unique "hammer" shaped stomach.
- Diagnostic imaging revealed a pyloric opening situated high on the lesser curvature, within the gastric body, with an enlarged distal stomach.
- Gastrointestinal endoscopy confirmed a poorly functioning pyloric opening approximately 3 cm below the cardia.
Findings:
- Histological examination of a co-existing gastric ulcer revealed atypical hyperplasia and focal carcinogenesis.
- The case presents a probable congenital pyloric ectopic opening, a novel gastric anomaly.
- The co-occurrence of this anomaly with a gastric ulcer and early signs of cancer is noteworthy.
Implications:
- This case expands the spectrum of known gastric anatomical variations.
- It highlights the importance of considering rare congenital anomalies in patients with unexplained abdominal symptoms.
- Further research may elucidate the embryological basis and clinical significance of pyloric ectopic openings.
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