NO ABSTRACT AVAILABLEAn 89-year-old woman was admitted to the emergency
department at “Ospedale Civile Umberto I” in Lugo
(Ravenna) for 1 month of vomiting, mild epigastric pain,
and postprandial diarrhea without fever. Main comorbidities
included chronic atrial fbrillation treated with a direct-acting oral anticoagulant, previous MI, hypertension, diabetes,
and hypercholesterolemia, though despite her age the patient
was autonomous in her daily activities. On admission, laboratory tests included normal WBC count, Hgb, and CRP.
Abdominal X-ray demonstrated a stomach flled by ingested
food (Fig. 1a) and difuse air–fuid levels accompanied by
abdominal distension (Fig. 1b). A surgical consultation was
requested; a CT scan was performed confrming gastric distension by ingested food (Fig. 2).
Since gastric outlet obstruction was suspected, the patient
was hospitalized in a medical unit, treated with NPO and
IV fuids. After 2 weeks, a second surgical consultation was
requested due to the recurrence of clinical symptoms with
unchanged laboratory tests. An upper GI series reported
normal gastric and duodenal transit (Fig. 3) while colonoscopy was negative. The patient underwent EGD that showed
a 4-cm pedunculated polyp situated in the gastric antrum;
the polyp prolapsed into the duodenal bulb creating a “ball
valve”-type intermittent obstruction. Biopsy was consistent
with a hyperplastic polyp which was endoscopically resected
(Fig. 4a–c). The fnal histological report confrmed a benign
lesion; the patient was discharged from the hospital without
any further invasive treatment in good general condition
