Pyloric Stenosis Due to Pyloric Channel Ulcer – Endoscopic view - Dr. SA Satti

This is a case of a 75-year-old male, who presented to the medical outpatient department of Capital Hospital Islamabad with history of dyspepsia for the last 6 months and vomiting since last fourteen days.

He also had a significant history of weight loss. There wasn’t any history of black stools, constipation, diarrhoea, dizziness, headache. But he was feeling fatigued, dizziness and generalized weakness. He vomits right after eating or drinking fluids. The vomitus consists of the contents of recently eaten food. He was given medication for symptomatic relief but medication wasn’t of great help for him. Considering his age and the signs/symptoms, Dr. Siddique Akbar Satti who was on the case, went for an upper GI endoscopy.

He did the endoscopy and got the following picture of the stomach.

Dr. Satti says in his report that the gastric cavity is dilated with large amount of residual food and fluid, even after 12 hours of fasting. There is a large sized ulcer with friable surrounding mucosa in the pre pyloric channel. Pylorus i markedly deformed and stenosed. Endoscope cannot pass any further. Multiple biopsies taken from the pyloric channel and ulcer margins. The black arrow in the picture points toward ulcer and red arrow shows the pyloric stenosis.

So this was yet another case of pyloric stenosis with a different presentation. Dr Siddique Akbar Satti is sharing a few more cases of pyloric stenosis with a different and peculiar presentation.

Special Thanks: To Dr. Siddique Akbar Satti. Dr. Siddique Akbar Satti is the Head department of medicine, of Capital Hospital Islambad Pakistan. He is an expert endoscopist and an honarable member of editorial board of medicotips.com