PMC3959372_01
The Barium meal film showing massively dilated stomach with gaseous distention
AnnGastroenterol-25-262-g001.jpg
PMC3959372_01_AnnGastroenterol-25-262-g001.jpg
F1
Barium meal showed grossly distended stomach with slow passage of barium from the antero-pyloric region distally (Fig. 1).
Perioperative picture with normal smooth muscle thickness, slight increase in thickness of mucosal and submucosal layer, no intraluminal or extraluminal cause identified
AnnGastroenterol-25-262-g002.jpg
PMC3959372_01_AnnGastroenterol-25-262-g002.jpg
F2
Suspecting gastric outlet obstruction, exploratory laparotomy was done that revealed hugely distended stomach with normal smooth muscle thickness but no intra-luminal valve, ring or diaphragm or extra-luminal compression was seen (Fig. 2).