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Hyperirritable Stomach as a Cause of Nausea and Vomiting: Clinical and Radiographic Findings

David M. Naeger1,2, Marc S. Levine1, Pooja Renjen1, Stephen E. Rubesin1 and Igor Laufer1

1 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
2 Present address: Department of Radiology, University of California, San Francisco, Medical Center, San Francisco, CA.


Figure 1
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  		Fig. 1 —51-year-old man with hyperirritable stomach. Frontal spot image from single-contrast upper gastrointestinal tract examination after rapid emesis of much of ingested barium shows residual barium in collapsed stomach, nondilated duodenum, and multiple loops of proximal and mid small bowel without evidence of gastric outlet obstruction or small-bowel obstruction. This patient was admitted to hospital for chronic nausea and vomiting while on antiviral agents (interferon and ribavirin) after liver transplantation. He was treated with antiemetic agent (promethazine) and discontinuation of antiviral agents, and nausea and vomiting had resolved at time of discharge.

 

Figure 2
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  		Fig. 2 —73-year-old man with hyperirritable stomach. Frontal spot image from single-contrast upper gastrointestinal tract examination after rapid emesis of much of ingested barium shows residual barium outlining rugal folds in collapsed stomach with small amount of barium in nondilated duodenum and first loop of jejunum. This patient was admitted to hospital for 1 month of nausea and vomiting while on narcotic agent (oxycodone) for lower-back pain. He was treated with antiemetic agent (ondansetron) and discontinuation of narcotic, and nausea and vomiting had resolved at time of discharge.

 

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