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Exam questionKROK 2Medicine ยท 2015

A 60-year-old patient complains of nearly permanent sensation of heaviness and fullness in the epigastrium, that increases after eating, foul-smelling eructation, occasional vomiting with food consumed 1-2 days ago, weight loss. 12 years ago he was first found to have an ulcer of pyloric channel. The patient has taken ranitidine for periodic hunger pain. The patient's condition has been deteriorating over the last 3 months. Objectively: splashing sound in the epigastrium is present. What kind of complication is it?

Answer options

  1. Foreign body in the stomach (bezoar)
  2. Functional pyloric spasm
  3. Malignization of gastric ulcer
  4. Penetration of gastric ulcer
  5. Pyloric stenosis
Correct answer

Pyloric stenosis

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