Gastric Diverticulum Misdiagnosed as a Left Adrenal Lesion
Journal Title: Gastro - Open Journal - Year 2015, Vol 1, Issue 1
Abstract
We report a case of gastric diverticulum misdiagnosed as a left adrenal lesion on both ultrasound and CT imaging and later identified on a follow-up CT. A 56 year-old man with a history of gastroesophageal reflux disease was admitted to our Hospital with left abdominal pain. There was no history of vomiting, hematemesis, melena, tiredness or jaundice. Bowel sounds were normal and no masses were identified at clinical examination. An ultrasound abdominal scan was performed and a hypoechoic 24 mm mass in left adrenal loggia was reported. An abdominal CT scan showed a 2.4 cm rounded mass in the area of the left adrenal gland with densitometric mean values of -7 HU, interpreted as adrenal adenoma (Figure 1). In the following days the patient underwent a complete endocrinological evaluation that showed normal findings with normal adrenal function; ACTH level and urinary catecholamines were both within normal range. The patient was then discharged and scheduled for a follow-up CT.
Authors and Affiliations
Simone Sala
The Histamine H4 Receptor: A Novel Target for Safe Anti-inflammatory Drugs?
The functional role of histamine H4 receptors (H4Rs) in the Gastrointestinal (GI) tract is reviewed, with particular reference to their involvement in the regulation of gastric mucosal defense and inflammation. H4Rs have...
A Double-Edged Sword and Swinging Pendulum: The Evolving Role of Percutaneous Endoscopic Gastrostomy Tubes in Patients with Advanced Dementia
Percutaneous Endoscopic Gastrostomy (PEG) tubes have been increasingly utilized in recent decades accompanying the rise in prevalence of disorders that require long-term nonoral enteral feeding such as Cerebrovascular ac...
Percutaneous Endoscopic Gastrostomy: Use and Abuse in Clinical Practice
Nowadays, Percutaneous Endoscopic Gastrostomy (PEG) is considered the method of choice for long-term enteral feeding, and is spreading all over the world because of its effectiveness and easy carrying out. This review en...
Role of Calcium in Vomiting: Revelations from the Least Shrew Model of Emesis
Cisplatin-like chemotherapeutics cause vomiting via release of multiple neurotransmitters (dopamine, serotonin, or substance P) from the gastrointestinal enterochromaffin cells and/or the brainstem via a Calcium (Ca2+) d...
Coalescent Cyclical Vomiting: A Manifestation of Narcotic Bowel Syndrome?
This illustrative case suggests mechanisms that may contribute to disease progression and complications in adults with Cyclical Vomiting Syndrome (CVS). Symptoms initially followed a characteristic pattern in the context...