Rationale: Oral ingestion of glyphosate can induce gastrointestinal symptoms such as vomiting, abdominal pain, and hematochezia. Timely and effective treatment of pyloric stenosis caused by glyphosate poisoning is important.

Patient Concerns: The patient had a poor appetite, accompanied by nausea and vomiting of a small amount of dark brown material that resembled blood clots several times a day. Gastroscopy revealed gastric ulcer, a large pyloric antrum ulcer, and a deformed stomach cavity.

Diagnosis: Pyloric stenosis due to glyphosate poisoning in a 36-year-old man.

Interventions: The patients received distal gastrectomy and subsequently transferred to the ICU for further treatment. A mechanical ventilator was used to assist breathing.

Outcomes: Follow-up was conducted 3 years after surgery. The patient had no problem with food ingestion and experienced no discomfort, such as vomiting, nausea, coughing, or expectoration.

Lessons: Gastrectomy is necessary to treat pyloric stenosis caused by glyphosate poisoning.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709011PMC
http://dx.doi.org/10.1097/MD.0000000000016590DOI Listing

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