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{
    "pk": 953,
    "title": "Gastric Diverticulum Presenting as Hematemesis: A Case Report Detailing an Uncommon Presentation of an Already Rare Entity",
    "subtitle": null,
    "abstract": "Introduction:\n Gastric diverticula (GD) are uncommon. Most are asymptomatic and diagnosed incidentally. Symptoms range from reflux and epigastric discomfort to life-threatening bleeding and perforation. We describe a case of symptomatic GD presenting as hematemesis requiring surgical treatment.\nCase Report:\n A 57-year-old female presented to the emergency department (ED) with one day of epigastric pain and hematemesis. Hemoglobin was found to be stable, but blood urea nitrogen was elevated. Imaging revealed a fundal GD. Esophagogastroduodenoscopy did not show other etiology of hematemesis. The patient underwent partial gastric resection for GD removal and did well without further symptoms on follow-up.\nConclusion:\n Although rare, GD needs to be included on a differential diagnosis when evaluating gastrointestinal symptoms in the ED. Patients may present with an array of complaints but can potentially develop serious complications. Providers should be familiar with the diagnostic options and treatment regimens available to better care for patients presenting with GD.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Gastric diverticulum"
        },
        {
            "word": "hematemesis"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1640g2sq",
    "frozenauthors": [
        {
            "first_name": "Maddi",
            "middle_name": "",
            "last_name": "Massa",
            "name_suffix": "",
            "institution": "Spectrum Health Lakeland, Department of Emergency, Saint Joseph, Michigan",
            "department": "None"
        },
        {
            "first_name": "Karla",
            "middle_name": "",
            "last_name": "Newbold",
            "name_suffix": "",
            "institution": "Spectrum Health Lakeland, Department of Emergency, Saint Joseph, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-27T02:50:11+08:00",
    "date_accepted": "2020-10-27T02:50:11+08:00",
    "date_published": "2020-10-27T02:50:58+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/953/galley/701/download/"
        }
    ]
}