2018 Volume 43 Issue 6 Pages 1027-1032
We report a case of gastric carcinoma causing ball-valve syndrome which was reduced under endoscopic assist before radical surgery. An 89-year-old man presented to his neighborhood doctor with anorexia, and upper gastrointestinal endoscopy revealed a tumor arising from the antrum extending into the duodenal bulb beyond the pyloric ring. The patient was referred to us for further examination and treatment. We diagnosed ball-valve syndrome.
We decided to perform surgery, because endoscopic reduction was impossible. During the operation, the serosal and muscular layers of the anterior wall of the antrum were found to have invaginated into the duodenal bulb. We reduced the invagination gently by the Hutchinson procedure under endoscopic assist, and performed distal gastrectomy (Billroth-I).
This report describes a rare case of gastric carcinoma causing ball-valve syndrome that was reduced under endoscopic assist prior to radical surgery.
