BACKGROUND: Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic. AIM: We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges. CASE REPORT: A 63-year-old man was admitted with vague epigastric discomfort. Physical examination and laboratory investigations were normal. Endoscopy revealed an erosive gastropathy and a pouch arising from the posterior aspect of the greater curve, 8 cm from the hiatus. Barium meal confirmed the presence of a 5 cm diameter diverticulum arising from the gastric fundus. CONCLUSION: Careful examination of the whole stomach at gastroscopy is recommended for not missing a diverticulum.
BACKGROUND: Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic. AIM: We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges. CASE REPORT: A 63-year-old man was admitted with vague epigastric discomfort. Physical examination and laboratory investigations were normal. Endoscopy revealed an erosive gastropathy and a pouch arising from the posterior aspect of the greater curve, 8 cm from the hiatus. Barium meal confirmed the presence of a 5 cm diameter diverticulum arising from the gastric fundus. CONCLUSION: Careful examination of the whole stomach at gastroscopy is recommended for not missing a diverticulum.