Surgical treatment of pyloric stenosis caused by glyphosate poisoning: A case report

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.