A Case of an Antral Web with a Gastric Ulcer due to Ibuprofen

Ibuprofen 사용 후 위궤양을 합병한 유문동 격막 1예

  • Jung, Ji (Department of Pediatrics, School of Medicine, Chosun University) ;
  • Moon, Kyung-Rye (Department of Pediatrics, School of Medicine, Chosun University)
  • 정지 (조선대학교 의학전문대학원 소아과학교실) ;
  • 문경래 (조선대학교 의학전문대학원 소아과학교실)
  • Received : 2010.02.16
  • Accepted : 2010.03.07
  • Published : 2010.03.30

Abstract

An antral web is an extremely rare gastric anomaly that disturbs the gastric outlet. The onset of symptoms will depend on the diameter of the aperture. Obstructive symptoms may not occur when the aperture is >1 centimeter in diameter. If the aperture is larger than 1 cm without significant symptoms, conservative treatment is sufficient. A case of an antral web with an ulcer and vomiting in a 7-year-old boy who received ibuprofen for 2 days is presented. The patient became symptom-free after medical treatment.

저자들은 평소 특별한 증상이 없이 건강했으나 두통 때문에 ibuprofen을 투여 받은 후 2일 후에 토혈, 복통이 발생하여 입원한 7세 남자에서 위 내시경 검사로 유문동 격막과 격막 주위 위 궤양을 진단한 유문동 격막 1예를 경험하였기에 보고하는 바이다.

Keywords

References

  1. Noel RJ, Glock MS, Pranikoff T, Hill ID. Nonobstructive antral web: An unusual cause of excessive crying in an infant. J Pediatr Gastroenterol Nutr 2000;31:439-41. https://doi.org/10.1097/00005176-200010000-00020
  2. Kim YJ. A case of antral web in a child. Korean J Gastrointestinal Endosc 1996;16:761-4.
  3. Choi KJ. Prepyloric gastric antral webs in Children. J Korean Surg Soc 1988;35:610-4.
  4. Haddad V, Macon WL 4th, Islami MH. Mucosal diaphragms of the gastric antrum in adults. Surg Gynecol Obstet 1981;152:227-33.
  5. Feliciano DV, van Heerden JA. Pyloric antral mucosal webs. Mayo Clin Proc 1977;52:650-3.
  6. Blazek FD, Boeckman CR. Prepyloric antral diaphragm: delays in treatment. J Pediatr Surg 1987;22:948-9. https://doi.org/10.1016/S0022-3468(87)80597-3
  7. Bell MJ, Ternberg JL, McAlister W, Keating JP, Tedesco FJ. Antral diaphragm a cause of gastric outlet obstruction in infants and children. J Pediatr 1977;90:196-202. https://doi.org/10.1016/S0022-3476(77)80629-X
  8. Lu CC, Schulze-Delrieu K. Pyloric deformation from peptic disease. Radiographic evidence for incompetence rather than obstruction. Dig Dis Sci 1990;35:1459-67. https://doi.org/10.1007/BF01540562
  9. Johnson GM. Gastric mucosal diaphragm in a child. Pediatrics 1971;47:916-9.
  10. Gerber BC. Prepyloric diaphragm, an unusual abnormality. a case report. Arch Surg 1965;90:472-80. https://doi.org/10.1001/archsurg.1965.01320100016004
  11. Jinkins JR, Ball TI, Clements JL Jr, Elmer RA, Weens HS. Antral mucosal diaphragms in infants and children. Pediatr Radiol 1980;9:69-72. https://doi.org/10.1007/BF00977667
  12. Hait G, Esselstyn CB Jr, Rankin GB. Prepyloric mucosal diaphragm (antral web): report of a case and review of the literature. Arch Surg 1972;105:486-90. https://doi.org/10.1001/archsurg.1972.04180090089021
  13. Gross KE, Durham MW. Pyloric antral mucosal diaphragm; report of a case. Radiology 1953;61:368-72. https://doi.org/10.1148/61.3.368
  14. Banks PA, Waye JD. The gastroscopic appearance of antral web. Gastrointest Endosc 1969;15:228-9.
  15. Skibba JL, Wesenberg RL, Anderson AD. Incomplete antral membrane in an infant. Am J Dis Child 1973;126:82-4.
  16. Travis RC. Gastric antral webs in adults. Australas Radiol 1990;34:266-7. https://doi.org/10.1111/j.1440-1673.1990.tb02648.x
  17. Berr F, Rienmueller R, Sauerbruch T. Successful endoscopic transection of a partially obstructing antral diaphragm. Gastroenterology 1985;89:1147-51. https://doi.org/10.1016/0016-5085(85)90222-7