A prospective study to determine the incidence of hiatus hernia and gastro-oesophageal reflux in 1030 consecutive symptomatic adult Nigerian patients undergoing barium meal examination is reported. The results show a very low incidence of hiatus hernia (0-39%) and an equally low incidence of gastro-oesophageal reflux (2-2%) when compared with similar studies in Europe and America. There was a h...

CASE REPORT A 71-year-old lady presented with acute cholecystitis which settled with conservative treatment. She was readmitted four months later with another attack of acute cholecystitis. Three days after admission she began to vomit repeatedly. She had a positive succussion splash consistent with a diagnosis of gastric outlet obstruction. She was treated initially with nasogastric aspiration...

Ménétrier's disease is a rare cause of hypertrophic gastropathy that is usually confined to the gastric body and fundus. It is characterized by giant rugae, hypoalbuminemia, and foveolar hyperplasia. Here we report the case of a 26-year-old woman who presented with epigastric pain, postparandial nausea-vomiting, and weight loss. Paraclinic evaluation revealed hypoalbuminemia and hypochromic mic...

A 23-year-old woman presented with intractable iron-deficiency anaemia. A barium meal showed widespread mucosal abnormalities in the stomach and massive mucosal hypertrophy was found at laparotomy. Repeated tests for occult blood were negative but gastrointestinal haemorrhage was confirmed by isotopic blood labelling. In the face of persistent anaemia and radiological progression, total gastrec...

The presence of a periampullary duodenal diverticulum (PDD) is often observed during upper digestive tract barium meal studies and endoscopic retrograde cholangiopancreatography (ERCP). The impact of periampullary duodenal diverticulum for the formation of gallstones in the bile duct (choledocholithiasis) is widely accepted. In this study it using logistic regression modeling the appearance of ...

Corrosive ingestion can cause serious damage to the upper gastrointestinal tract. The acute consequences could range from mild erythema to gangrene and perforation. Delayed consequences could be strictures of the oesophagus presenting as dysphagia or gastric, pyloric and antral stenosis presenting as gastric outlet obstruction. Gastro-colic fistula as a complication of acid ingestion is a rare ...

BACKGROUND Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic. AIM We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges. CASE REPORT A 63-year-old man was admitted with vague epigastric discomfort. Physical examination and laboratory investigations were normal. Endoscopy revealed an erosive gastropathy and a po...

Twenty cases of parinamasula (duodenal ulcer) were selected for the clinical study. The patients were diagnosed on the basis of barium meal, X-ray and gastric analysis in addition to the clinical history and physical examination. All the cases were ulcer positive or with duodenal bulb deformity. Group A (15cases) was having hyperchlorhydria and hyperacidity and group B (5cases) was having norma...

Congenital hiatal hernia with herniation of stomach into thorax is not uncommon in children but this herniation is usually seen in midline or on left side. However, right sided intrathoracic stomach with its organoaxial torsion secondary to congenital hiatal hernia is a rare occurrence. Barium meal examination is essential for its diagnosis but plain x-ray of the abdomen can arouse the suspicio...

We present a 24-year-old lady who reported at the radiology department, UBTH Benin City for a chest radiograph, as part of her pre-employment medical examination. She was asymptomatic, her past medical history was not significant and physical examination revealed an apex beat located on the 5th right intercoastal space. The chest radiograph confirmed dextrocardia and also revealed the gastric a...