Granulomatous gastritis presenting as gastric outlet obstruction: a case report.
The clinico-pathologic entity of idiopathic granulomatous gastritis is a form of granulomatous gastritis, distinct from Crohn's disease, sarcoidosis, infections, foreign bodies, malignancy or vasculitis. The case of a 61-year-old female is described who was admitted on account of progressive weight loss, diffuse abdominal pains, post-prandial vomiting. Gastroscopy revealed a pyloric stenosis managed surgically. Pathological examination of the resected stomach showed numerous non-caseating granulomas in the lamina propria. No definite aetiological factor could be detected. A diagnosis of idiopathic granulomatous gastritis was made. She remains well 5 years later and has not developed regional enteritis, sarcoidosis, or any other generalized diseases.
Spinzi
G
G
Department of Medicine II, Valduce Hospital, Como, Italy.
Meucci
G
G
Radaelli
F
F
Sangiovanni
A
A
Terruzzi
V
V
Minoli
G
G
D003937:Diagnosis, Differential; D005260:Female; D017219:Gastric Outlet Obstruction / Q000175:diagnosis*; D005756:Gastritis / Q000145:classification / Q000175:diagnosis / Q000473:pathology*; D006099:Granuloma / Q000145:classification / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000473:pathology*