GIANT GASTRIC DIVERTICULUM- AN INCIDENTAL CT FINDING OR A GRAVE COMPLICATION?

Mahnoor Hafeez, Ateeque ahmed khan

Abstract


We report the case of 74 years old male Hepatitis C patient who presented to the Civil Hospital Karachi with history of repeated episodes of haematemesis, epigastic pain, abdominal fullness, bloating and generalised malaise for 1 year. His Alpha feto-protein levels were 1100 ng/mL; he was suspected of having hepatocellular malignancy, therefore underwent Triphasic CT of the Abdomen. Apart from demonstration of Multicentric Hepatoma, a giant Gastric Diverticulum (8.8 x 12.0 cm- CCxAP dimensions) at pyloric region was incidentally seen at the CT scan. The presence of gastric diverticula in the antrum, prepyloric or pyloric region is extremely rare. To the best of authors’ knowledge, a huge pre-pyloric gastric diverticulum has not been reported previously in the literature.
Key words: gastric diverticulum, Computed tomography, CT.


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