A Case of an Antral Web with a Gastric Ulcer due to Ibuprofen

Ji Jung; Kyung Rye Moon

doi:10.5223/kjpgn.2010.13.1.66

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Jung and Moon: A Case of an Antral Web with a Gastric Ulcer due to Ibuprofen

Case Report

Korean Journal of Pediatric Gastroenterology and Nutrition

Korean Journal of Pediatric Gastroenterology and Nutrition 2010; 13(1): 66-69.

Published online: 31 March 2010

DOI: https://doi.org/10.5223/kjpgn.2010.13.1.66

A Case of an Antral Web with a Gastric Ulcer due to Ibuprofen

Ji Jung, M.D., Kyung Rye Moon, M.D.

Department of Pediatrics, School of Medicine, Chosun University, Gwangju, Korea.

Responsible author (krmoon@chosun.ac.kr)

Received 16 February 2010 Accepted 7 March 2010

Abstract

An antral web is an extremely rare gastric anomaly that disturbs the gastric outlet. The onset of symptoms will depend on the diameter of the aperture. Obstructive symptoms may not occur when the aperture is >l centimeter in diameter. If the aperture is larger than 1 cm without significant symptoms, conservative treatment is sufficient. A case of an antral web with an ulcer and vomiting in a 7-year-old boy who received ibuprofen for 2 days is presented. The patient became symptom-free after medical treatment.

Keywords: Antral web, Gastric ulcer, Ibuprofen

Figures and Tables

Fig. 1

UGI series shows a stricture at the antral portion and an ulcer crater with regular radiating mucosal folds (arrow).

Fig. 2

Gastroscopic finding. (A) Initially, an ulcer, erosion, and mucosal swelling around the antral web were noticed. (B) The normal pylorus can be seen through the aperture of the antral web.

Fig. 3

Seven days later, (A) the size of the ulcer was decreased and the radiating mucosal folds on the antral web were prominent. (B) Two months later, the ulcer was not visible and the antral web with an aperture diameter of 1.4 cm is shown.

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