Nadir bir mide çıkış tıkanıklığı nedeni: mide polipi

Year 2019, Volume: 11 Issue: 2, 214 - 216, 01.06.2019

Mehmet Suat Yalçın , Serhat Sayın , Burak Bursalı

https://doi.org/10.21601/ortadogutipdergisi.434859

Abstract

Gastrik çıkış obstrüksiyonu, mekanik tıkanıklığa bağlı epigastrik karın ağrısı ve postprandiyal kusma ile karakterize klinik bir sendromdur. Seksen iki yaşında erkek hasta bulantı, kusma ve karın ağrısı ile acil servise başvurdu. Amilaz yüksekliği saptanan hasta akut pankreatit ön tanısı ile yatırıldı. Ancak abdomen tomografisinde pankreas parankimi normal saptandı. Duodenumda duvar kalınlaşması saptanması üzerine planlanan endoskopisinde gastrik çıkış obstrüksiyonuna sebep olan dev gastrik polip saptandı. Biyopsi sonucu high grade displazi içeren tubuler adenoma olarak saptandı. Burada gastrik çıkış obstrüksiyonuna nadiren sebep olabilen gastrik polip olgusunu sunmayı amaçladık.

Keywords

Mide çıkış tıkanıklığı, gastrik polip, endoskopi

A rare cause of gastric outlet obstruction: gastric polyp

Abstract

Gastric outlet obstruction is a clinical syndrome characterized by epigastric abdominal pain due to mechanical occlusion and postprandial vomiting. An 82-year-old male patient applied to the emergency service with nausea, vomiting and abdominal pain. The patient with amylase elevation was admitted with pre-diagnosis of acute pancreatitis. However, pancreas parenchyma was normal in abdominal CT. A giant gastric polyp causing gastric outlet obstruction was detected in endoscopy which was decided after duodenal wall thickening. Tubular adenoma with high grade dysplasia was detected in biopsy. Here, we aim to present a case of gastric polyp that can rarely cause gastric outlet obstruction.

Keywords

Gastric outlet obstruction, gastric polyp, endoscopy

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