Prepyloric Diverticulum in a Nigerian: Case Report of a Rare Finding

Prepyloric Diverticulum in a Nigerian: Case Report of a Rare Finding

Aderemi Oluyemi1+, Dayo Ajayi2

1ReMay Consultancy & Medical Services, Ikeja, Lagos, Nigeria; 2Renaissance Medical Center, Victoria Island, Lagos, Nigeria.

International-Journal-of-Case-Reports-2d code

Diverticulae are uncommonly encountered in the stomach. They can be congenital or acquired- the latter variety being the less frequent of the two. This article details one such rare case from Lagos, Nigeria and discusses certain aspects of its clinical and endoscopic presentation. We present a 59-year old with a background history of non-steroidal anti-inflammatory drugs abuse presented with hematemesis and melena and was in hemorrhagic shock. After stabilization, the gastroscopy findings were of a gastric diverticulum (GD) in the anterior prepyloric wall. There was a Forrest IIb ulcer in the GD’s wall with surrounding erythema and edema. The patient was successfully managed medically and conservatively and with good long term results.

Keywords: gastric diverticulum; Nigeria; gastroscopy; ulcer.

Free Full-text PDF

How to cite this article:

Aderemi Oluyemi, Dayo Ajayi. Prepyloric Diverticulum in a Nigerian: Case Report of a Rare Finding . International Journal of Case Reports, 2020 4:134. DOI: 10.28933/ijcr-2020-05-1705


1. Akerlund D. Gastric diverticulum. Acta Radiol 1923;2:476-85.
2. Anaise D, Brand DL, Smith NL, Soroff HS. Pitfalls in the diagnosis and treatment of a symptomatic gastric diverticulum. Gastrointestinal Endoscopy 1984;30:28-30. doi: 10.1016/s0016-5107(84)72291-7
3. Gockel I, Thomschke D, Lorenz D. Gastrointestinal: Gastric diverticula. J Gastroenterol Hepatol 2004;19:227. doi: 10.1186/1749-7922-7-1
4. Schiller AH, Roggendorf B, Delker-Wegener S, Richter K, Kuthe A. Laparoscopic resection of gastric diverticula: two case reports. Zentralbl Chir 2007;132(3):251-5. doi: 10.1055/s-2007-960753
5. Meeroff M, Goll’an JRM, Meeroff JC. Gastric diverticulum. Am J Gastroenterol 1967;47(3):189–203. PMID: 4960419
6. Tsitsias T, Finch JG. Gastric Diverticulum of the Prepyloric Region: A Rare Presentation of Gastric Diverticulum. Case Rep Gastroenterol 2012;6:150–4. doi: 10.1159/000338067
7. Mohan P, Ananthavadivelu M, Venkataraman J. Gastric Diverticulum. CMAJ 2010;182(5):226. doi: 10.1503/cmaj.090832
8. Cheng EH, Pavelock RR. Multiple gastrointestinal tract diverticula. Gastrointest Radiol 1990;15:282–4. doi: 10.1007/BF01888797
9. Hwang JH, Fisher DA, Ben-Menachem T, Chandrasekhara V, Chathadi K, Decker GA, et al. The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointest Endosc 2012;75(6):1132-8.
10. Casberg MA, Martin WP: Gastric diverticula. Am J Surg 1948;76:172–181. doi: 10.1016/0002-9610(48)90069-5
11. Chasse E, Buggenhout A, Zalcman M, Jeanmart J, Gelin M, El Nakadi I. Gastric diverticulum simulating a left adrenal tumor. Surgery 2003;133:447–448. doi: 10.3892/ol.2015.3559
12. Rashid F, Aber A, Iftikhar SY. A review on gastric diverticulum. World J Emerg Surg 2012;7:1. doi: 10.1186/1749-7922-7-1

Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).

This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.