RT Journal Article
SR Electronic
T1 Please treat me with metoclopramide
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 735
OP 736
DO 10.1136/emj.2007.049486
VO 24
IS 10
A1 Dimitrios-Anestis Moutzouris
A1 Stylianos Manetas
A1 Stavros E Mountantonakis
A1 Matthew E Falagas
YR 2007
UL http://emj.bmj.com/content/24/10/735.abstract
AB Severe peptic ulcer resulting in hypertrophic pyloric stenosis is a rare clinical problem nowadays. Symptoms include vomiting, nausea, early satiety, weight loss, epigastric pain especially after eating. The physical examination may not be helpful because the pyloric mass is difficult to palpate. We report a case of a 43-year-old man who presented to the emergency department complaining of vomiting. He asked for metoclopramide, refusing initially further investigation and gastrointestinal endoscopy. Finally, he agreed to undergo a barium meal examination, which showed severe pyloric stenosis. He underwent vagotomy and enteroanastomosis. The biopsy of the removed segment of the stomach did not show any malignant changes.