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 21 March 2018

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GastroenterologyStomach & duodenum

Peptic ulcer

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Pyloric stenosis due to peptic ulceration.
A 45-year old male worker presented with a 3-month history of vomiting 4 hours after each meal. He gave a history of dyspepsia for the last 20 years, and had been treated with several courses of H2-blockers. Upper endoscopy revealed a dilated enlarged stomach with deformity and stenosis of duodenal bulb. The H.pylori urease test was positive. He remained symptomatic 2 months after H.pylori eradication with PPI -based quadruple therapy.

This is the small bowel follow through in this patient - he had both pyloric stenosis and pneumatosis cystoides intestinalis of the small intestine.


Reza Malekzadeh, Tehran, Iran

Pyloric stenosis due to peptic ulceration.

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