A Rare Diagnosis of Abdominal Pain


ÖZGÜL H. A., Akin I., ALTAY C., TOPALAK Ö. S., SEÇİL M.

CYPRUS JOURNAL OF MEDICAL SCIENCES, cilt.7, sa.4, ss.567-569, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 4
  • Basım Tarihi: 2022
  • Doi Numarası: 10.4274/cjms.2020.1163
  • Dergi Adı: CYPRUS JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.567-569
  • Anahtar Kelimeler: Gastric diverticulitis, computed tomography, abdominal pain, GASTRIC DIVERTICULUM
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Abdominal pain is a very common complaint among patients presenting to the emergency department. Many different reasons can cause abdominal pain; therefore, the differential diagnosis list can be quite long. In differential diagnosis, anamnesis, examination findings, laboratory tests, and radiological imaging methods are helpful. This article presents the findings of a 79-year-old male patient who presented to an emergency room with nausea and vomiting and increased right upper quadrant pain for three days. Based on his physical examinations and laboratory test results, the only positive finding was rebound tenderness in the right upper abdominal quadrant. Computed tomography sections showed a 3x1 cm diverticular filling extending from the antrum to the perigastric region's superomedial part. Edema, increased wall thickness, and enhancement were observed in the walls of the diverticulum. As a result of all these findings, the diagnosis was considered to be gastric diverticulitis (GD). Gastric diverticulum is the rarest diverticulum in the gastrointestinal tract. GDs are often asymptomatic and are rarely symptomatic, depending on their size. Physical examinations and laboratory tests in diagnosing GD are non-specific; however, radiological imaging methods play an essential role. Additionally, GD can be diagnosed via endoscopic procedures.