© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT ANSWER
An unusual cause of persistent vomiting
| The first 150 words of the full text of this article appear below. |
An abnormal filling defect in close association with a thin C-shaped radio-opaque strip can be seen in the gastric remnant (grey arrow). Radio-opaque clips can also be seen around the cardia (white arrow). These appearances are in keeping with an Angelchik prosthesis which has become detached and eroded into the stomach.
Gastroscopy should be performed not only to confirm the diagnosis but also in an attempt to remove the prosthesis endoscopically.1 At gastroscopy the stomach mucosa appeared normal and the silicon prosthesis, although covered with debris, was easily visualised. However, despite several attempts, it was not possible to retrieve the prosthesis endoscopically. The only other option was to remove the prosthesis surgically and this was performed in this case by carrying out a laparotomy and gastrotomy. The patient made an uncomplicated recovery and was free of symptoms at review three months later.
The Angelchik prosthesis is no longer widely used
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- An unusual cause of persistent vomiting
- A G Acheson, J Collyer, G A McPherson
Postgrad. Med. J. 2003 79: 178.[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
