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Progressive Antral Narrowing in an Adolescent
Richard M. Gore, MD;
Ronald B. Port, MD
JAMA. 1982;247(1):73-74.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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History
A 13-year-old girl with anorexia nervosa had severe nausea and vomiting. The findings from physical and laboratory examination were normal. Representative films from upper gastrointestinal (GI) tract series performed on the day of admission (Fig 1), at three weeks (Fig 2), and at eight weeks (Fig 3) after admission are illustrated.
Diagnosis
Corrosive gastritis.
Comment
Figure 1, a spot film from the patient's first upper GI tract examination, demonstrated mild antral narrowing associated with irregular shaggy mucosa. At fluoroscopy, poor contractility of this region was noted. The esophagus, duodenum, and small bowel were normal. Double-contrast gastroduodenal studies performed three weeks (Fig 2) and eight weeks (Fig 3) later showed progressive, tubular narrowing of the antrum. Such dramatic antral narrowing in a young patient with psychological problems should strongly suggest the diagnosis of corrosive gastritis. Only on close questioning did this patient admit ingestion of several mouthfuls of a cleaning
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Radiology, Northwestern University Medical School, Chicago (Dr Gore). and Evanston Hospital-Northwestern University, Evanston, III (Dr Port).
Footnotes
Reprint requests to the Department of Radiology, Evanston Hospital, 2650 Ridge Ave, Evanston, IL 60201 (Dr Port).
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