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has been cited by the following article:

• TITLE: An Unusual Case of Gastric Outlet Obstruction in a Ghanaian Woman

  AUTHORS: Joachim Amoako, Henry Obaka, Nelson Affram, Wordui Theodore, Faizal Z. Asumda

  KEYWORDS: Neck-Pendant, Chronic Duodenal Ulcer, Gastric Outlet Obstruction

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.6 No.7, July 27, 2017

  ABSTRACT: Foreign body ingestion is an uncommon cause of gastric outlet obstruction in adults. Not all ingested objects pass the gastrointestinal tract spontaneously. In most cases, endoscopic removal is required. A surgical approach is required if endoscopic removal is unsuccessful or in the event of a complication. We present a case of a 45-year-old woman, previously diagnosed endoscopically with chronic duodenal ulcer with pyloric stenosis, who presented with copious effortless offensive non-bilious vomiting, and epigastric pain of three weeks’ duration. She was dehydrated with positive gastric succussion splash. Esophago-gastro-duodenoscopy showed an impacted neck-pendant occluding a stenosed pylorus which dislodged on attempts to extract it and was later excreted in the stool, with resolution of her symptoms.