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Gut. 2007 July; 56(7): 967.
PMCID: PMC1994363

An unusual cause of gastric outlet obstruction

Monitoring Editor: Robert Spiller

Clinical presentation

A 55‐year‐old woman presented with a 1‐day history of repeated vomiting of non‐bile stained content. She also had intermittent epigastric pain and dizziness for 3 months. She did not have a history of tarry stool or fresh per rectal bleeding. She was pale and abdominal examination showed succession splash and a ballotable right upper quadrant mass. Laboratory tests revealed a haemoglobin level of 4.7 g/dl and an albumin level of 27 g/l. CT of the abdomen was performed (fig 11 A–C).

figure gt98632.f1
Figure 1‐A A—C; CT of the abdomen.

Question

What is the most likely diagnosis? What are the possible treatments?

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