Unusual Etiology of Epigastric Pain

Abstract Background: Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found. Objectives: We report an unusual case of acute epigastric pain in wh...

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Published inThe Journal of emergency medicine Vol. 40; no. 5; pp. e93 - e95
Main Authors Slim, Rita, MD, Smayra, Tarek, MD, Tohme, Cyril, MD, Samaha, Elia, MD, Yaghi, Cesar, MD, Sayegh, Raymond, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2011
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Abstract Abstract Background: Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found. Objectives: We report an unusual case of acute epigastric pain in which abdominal ultrasound was of great support in revealing the diagnosis. Case Report: A 64-year-old man presented to the Emergency Department after rapid onset of acute epigastric pain. Abdominal ultrasound showed a multi-cystic heterogeneous mass between the stomach and the liver. Abdominal computed tomography scan confirmed the gastric origin of the mass and showed torsion signs. Urgent laparotomy was performed with tumor excision. The diagnosis of pedunculated exophytic gastric stromal tumor was made and long-term follow-up was arranged. Conclusions: Acute presentation revealed the presence of the tumor, which was excised surgically.
AbstractList BACKGROUNDEpigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found.OBJECTIVESWe report an unusual case of acute epigastric pain in which abdominal ultrasound was of great support in revealing the diagnosis.CASE REPORTA 64-year-old man presented to the Emergency Department after rapid onset of acute epigastric pain. Abdominal ultrasound showed a multi-cystic heterogeneous mass between the stomach and the liver. Abdominal computed tomography scan confirmed the gastric origin of the mass and showed torsion signs. Urgent laparotomy was performed with tumor excision. The diagnosis of pedunculated exophytic gastric stromal tumor was made and long-term follow-up was arranged.CONCLUSIONSAcute presentation revealed the presence of the tumor, which was excised surgically.
Background: Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found. Objectives: We report an unusual case of acute epigastric pain in which abdominal ultrasound was of great support in revealing the diagnosis. Case Report: A 64-year-old man presented to the Emergency Department after rapid onset of acute epigastric pain. Abdominal ultrasound showed a multi-cystic heterogeneous mass between the stomach and the liver. Abdominal computed tomography scan confirmed the gastric origin of the mass and showed torsion signs. Urgent laparotomy was performed with tumor excision. The diagnosis of pedunculated exophytic gastric stromal tumor was made and long-term follow-up was arranged. Conclusions: Acute presentation revealed the presence of the tumor, which was excised surgically.
Abstract Background: Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found. Objectives: We report an unusual case of acute epigastric pain in which abdominal ultrasound was of great support in revealing the diagnosis. Case Report: A 64-year-old man presented to the Emergency Department after rapid onset of acute epigastric pain. Abdominal ultrasound showed a multi-cystic heterogeneous mass between the stomach and the liver. Abdominal computed tomography scan confirmed the gastric origin of the mass and showed torsion signs. Urgent laparotomy was performed with tumor excision. The diagnosis of pedunculated exophytic gastric stromal tumor was made and long-term follow-up was arranged. Conclusions: Acute presentation revealed the presence of the tumor, which was excised surgically.
Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found. We report an unusual case of acute epigastric pain in which abdominal ultrasound was of great support in revealing the diagnosis. A 64-year-old man presented to the Emergency Department after rapid onset of acute epigastric pain. Abdominal ultrasound showed a multi-cystic heterogeneous mass between the stomach and the liver. Abdominal computed tomography scan confirmed the gastric origin of the mass and showed torsion signs. Urgent laparotomy was performed with tumor excision. The diagnosis of pedunculated exophytic gastric stromal tumor was made and long-term follow-up was arranged. Acute presentation revealed the presence of the tumor, which was excised surgically.
Author Smayra, Tarek, MD
Samaha, Elia, MD
Sayegh, Raymond, MD
Slim, Rita, MD
Tohme, Cyril, MD
Yaghi, Cesar, MD
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Cites_doi 10.1007/s00261-004-0092-8
10.1002/dc.10003
10.1093/annonc/mdi127
10.1186/1477-7819-5-78
10.1016/S1479-666X(07)80042-4
10.1053/hupa.2002.123545
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Issue 5
Keywords epigastric pain
torsion
GIST
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Snippet Abstract Background: Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies...
Background: Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the...
Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most...
BACKGROUNDEpigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the...
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SubjectTerms Abdominal Pain - diagnosis
Abdominal Pain - surgery
Diagnosis, Differential
Emergency
epigastric pain
Gastrointestinal Stromal Tumors - diagnosis
Gastrointestinal Stromal Tumors - surgery
GIST
Humans
Laparotomy
Male
Middle Aged
Stomach Neoplasms - diagnosis
Stomach Neoplasms - surgery
Tomography, X-Ray Computed
torsion
Torsion Abnormality - diagnosis
Torsion Abnormality - surgery
Title Unusual Etiology of Epigastric Pain
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