Chronic nausea as the leading symptom: an indication for double-contrast examination of the upper intestinal tract following normal gastroscopy.
We report a patient with chronic nausea as the leading symptom of a primary carcinoma of the duodenum located at the flexura duodeno-jejunalis. The tumour was not reached at gastroscopy, which was performed twice. Since this area usually cannot be seen upon gastroscopy or upon small bowel enteroclysma according to Sellink, a double-contrast investigation of the upper gastrointestinal tract using a hypotonic agent should be performed when nausea persists although gastroscopy is normal.
Department of Internal Medicine, Municipal Hospital Lüneburg, Germany.
O
O
Konle
R
R
Mahlke
R
R
Becher
E
E
Kricke
K
K
Riesner
P G
PG
Lankisch
D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002086:Butylscopolammonium Bromide; D004379:Duodenal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004380:Duodenal Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D007417:Intestinal Polyps / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016609:Neoplasms, Second Primary / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography
D002086:Butylscopolammonium Bromide