• Wenjun Luo, Tingting Lu, Fugen Li, Chuan Qian, Liuping Zhang, Meng Sun, Zhengwen Xu, and Yingdong Jia.
• Department of Gastrointestinal surgery, Suining Central Hospital, Suining, Sichuan, China.
• Medicine (Baltimore). 2019 Jul 1; 98 (30): e16590e16590.

RationaleOral 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 ConcernsThe 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.DiagnosisPyloric stenosis due to glyphosate poisoning in a 36-year-old man.InterventionsThe patients received distal gastrectomy and subsequently transferred to the ICU for further treatment. A mechanical ventilator was used to assist breathing.OutcomesFollow-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.LessonsGastrectomy is necessary to treat pyloric stenosis caused by glyphosate poisoning.

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