Benign Blockage: Gastric Outlet Obstruction due to a Prolapsing Gastric Pedunculated Polyp—Case Report and Literature Review

Abstract

An 89-year-old woman was admitted to the emergency department at "Ospedale Civile Umberto I" in Lugo (Ravenna) for 1 month of vomiting, mild epigastric pain, and postprandial diarrhea without fever. Main comorbidities included chronic atrial fibrillation treated with a direct-acting oral anticoagulant, previous MI, hypertension, diabetes, and hypercholesterolemia, though despite her age the patient was autonomous in her daily activities. On admission, laboratory tests included normal WBC count, Hgb, and CRP. Abdominal X-ray demonstrated a stomach filled by ingested food (Fig. 1a

Intermittent gastric outlet obstruction and mild acute pancreatitis caused by large gastric pedunculated polyp. A video case

“…Polyp resection solved patient symptoms. Gastric polyps can rarely protrude through the pylorus and causing progressive gastric outlet obstruction, even rarer is ampulla of Vater compression 1 2 .…”