A 64-year-old man with Parkinson’s diseasewas being treatedwith levodopa-carbidopa intestinal gel formulation through a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) tube that had been placed in 2010. In April 2014, he complained of abdominal distension, pain, bloating, food intolerance, and a pulling sensation from the PEG-J tube. At the physical examination, we observed a...

A 63-year-old man with a 3-month history of nausea, vomiting, and mid-abdominal pain presented for evaluation. He had an associated 11-kg unintentional weight loss and low-grade fevers. Physical examination showed a heart rate of 101 beats per minute, blood pressure of 111/81 mm Hg, and body mass index (BMI) of 19 kg/m2. Blood work, including a complete blood count, basic metabolic panel, and l...

Bile leaks are an important cause of morbidity after living donor liver transplantation (LDLT). This complication occurs in the early postoperative period and has an incidence of 15-40% [1]. These images (Figs. 1 and 2) are from a 57-yearold female who presented with symptoms of gastric outlet obstruction and was found to have a massive biloma. She had undergone a LDLT for hepatitis C cirrhosis...

A 5-day-old female neonate presented with persistent non-bilious projectile vomiting since birth. Baby girl was born at term by normal vaginal delivery. Antenatal scans at 12 and 20 weeks of pregnancy were reported as normal. Mother had polyhydramnios in late pregnancy. Baby was discharged home the same day of birth. The baby however developed non-bilious projectile emesis on the same day after...

Amyloidosis is characterized by extracellular deposition of insoluble protein fibrils that stain with Congo red application and appear apple green under polarized light. The presenting symptoms result from the involvement of many affected, nonspecific and generalized organ systems. Our patient was an 80-year-old woman with no medical history. She presented with a 2-week history of nausea and vo...

An 89-year-old woman was admitted with complaints of nausea, vomiting, and epigastric pain after having meals. A computed tomography scan of the abdomen showed a 12.5-cm mass in the fundus of the stomach, which extended to the duodenum (Figure 1). Upper gastrointestinal endoscopy showed a polypoid lesion with a thick and long stalk that originated from fundus and extended to the duodenum. The h...

Inflammation in ectopic pancreatic tissue can clinically present with pain or obstructive symptoms, depending on the location of the ectopic tissue. We present a rare case of gastric outlet obstruction secondary to pancreatitis of ectopic pancreatic tissue in the pylorus.

A 22 year old male presented with symptoms of gastric outlet obstruction. Endoscopy showed a hypertrophic nodular lesion around the pyloric opening with pyloric stenosis. The endoscopic biopsy and histopathological examination revealed tuberculosis involving the stomach, an extremely rare lesion.

West Indian Med J 2005; 54: (1) 85 INTRODUCTION Gallstones presenting as cholecystoduodenal, cholecystocholedochal and cholecysto-gastric fistulae causing gastric outlet obstruction (Bouveret’s syndrome) or the classical gallstone ileus are well documented. Gallstones penetrating the gastric wall but not the gastric mucosa, and lying in an isolated subserosal, intramural portion of the stomach ...

Gastric perforation in neonates is a rare but frequently fatal condition of uncertain etiology. It usually occurs in infants requiring resuscitation or having an episode of hypoxia following birth (1). Although massive pneumoperitoneum is a consistent radiographic characteristic in most of the cases, a few reports have highlighted unusual imaging findings in neonatal gastric perforation (2). He...