Abstract
We report a Helicobacter pylori-related antral gastric ulcer that continued to cause symptoms despite H. pylori eradication. The patient had progressive gastric outlet obstruction, raising the possibility of a malignancy. On exploratory laparotomy, he was found to have a large inflammatory mass surrounding a contained microperforation.
MeSH terms
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Antibodies, Bacterial / analysis
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Biopsy
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Endoscopy, Digestive System
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Follow-Up Studies
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Gastrectomy
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Gastric Mucosa / microbiology
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Gastric Mucosa / pathology
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Gastric Outlet Obstruction / diagnosis
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Gastric Outlet Obstruction / etiology*
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Gastric Outlet Obstruction / surgery
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Gastroenterostomy
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Helicobacter Infections / complications*
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Helicobacter Infections / diagnosis
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Helicobacter Infections / surgery
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Helicobacter pylori / immunology
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Helicobacter pylori / isolation & purification
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Humans
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Male
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Middle Aged
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Peptic Ulcer Perforation / complications*
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Peptic Ulcer Perforation / diagnosis
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Peptic Ulcer Perforation / surgery
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Pyloric Antrum
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Stomach Ulcer / complications*
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Stomach Ulcer / diagnosis
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Stomach Ulcer / surgery
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Tomography, X-Ray Computed
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Vagotomy