PMC3939326_01
UGI and CT scan showing posterior gastric diverticulum.
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F1
The UGI confirmed the presence of a 4-cm wide-mouth diverticulum projecting posteriorly from the gastric fundus (size not significantly different from CT) without evidence of a stomach mass, ulcerations, deformity, or gastric outlet obstruction (Figure 1).
Intraoperative exposure of diverticulum.
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F2
The short gastric vessels were ligated to gain exposure to the posterior gastric diverticulum, which was 2 cm from the esophagogastric junction (Figure 2).
(A) Intraoperative resection of diverticulum. (B) Resected specimen.
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F3
The diverticulum was transected at its base with a linear stapler and oversewn with suture without complication (Figure 3).
PMC3939326_02
CT scan showing posterior gastric diverticulum with air and contrast.
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F4
A CT scan demonstrated a stable 1.2-cm nodule in the left adrenal gland and a 3.7-cm epiphrenic diverticulum containing barium, arising from the posterior fundus of the stomach (Figure 4); however, there were no other gastrointestinal findings.