J Korean Soc Emerg Med.  2017 Apr;28(2):227-230. 10.0000/jksem.2017.28.2.227.

A Case Report of Gastric Outlet Obstruction Due to Gall Bladder Distension from Acute Cholecystitis

• Lee DW
• Park SH

• KMID: 2379834
• DOI: http://doi.org/10.0000/jksem.2017.28.2.227

Abstract

Gastric outlet obstruction (GOO) is a disease that causes pyloric canal or duodenal atresia by various etiologies. It is mainly caused by malignancy or peptic ulcer and rarely caused by corrosive injury, gastric polyp, pyloric stenosis, bezoar, or biliary stone. We report a rare case of GOO due to unreported etiology. A 74-year-old male patient with medical history of hypertension, diabetes mellitus, and stroke came to the emergency medical center with a chief complaint of acute stomachache. On abdominal computed tomography, it was diagnosed as GOO due to gall bladder distension from acute cholecystitis. During conservative treatment and antibiotics administration, gastrofibroscopy and magnetic resonance cholangiopancreatography was performed to determine other etiologies; however, the final diagnosis was made as acute cholecystitis. After laparoscopic cholecystectomy, he was discharged without specific complications. On a pathology examination postoperation, there was no specific diagnosis, except for acute cholecystitis. Gastric outlet obstruction is caused by various etiologies, with the course of treatment being dependent on the specific etiology. We report a rare case of GOO caused by gall bladder distension due to acute cholecystitis. Various etiologies should be considered carefully to include even the rare etiologies for choosing the correct treatment.

Keyword

Gastric outlet obstruction; Cholecystitis; acute; Abdominal pain

MeSH Terms

Abdominal Pain
Aged
Anti-Bacterial Agents
Bezoars
Cholangiopancreatography, Magnetic Resonance
Cholecystectomy, Laparoscopic
Cholecystitis
Cholecystitis, Acute*
Diabetes Mellitus
Diagnosis
Emergencies
Gastric Outlet Obstruction*
Humans
Hypertension
Male
Pathology
Peptic Ulcer
Polyps
Pyloric Stenosis
Stroke
Urinary Bladder*
Anti-Bacterial Agents