{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T23:56:39Z","timestamp":1771545399306,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002772","name":"Universit\u00e0 di Cagliari","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002772","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>A gastric diverticulum is a pouch protruding from the gastric wall. The vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding makes this condition a diagnostic challenge. We present a case of large gastric diverticulum that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope. A 51-year-old man presented to the medical department due to a syncopal episode occurring while he was resting on the beach after having his lunch, with concomitant vague epimesogastric gravative pain without any other symptom. A diagnosis of neuromediated syncopal episode was made by the cardiologist. Due to the referred epimesogastric pain, an abdominal ultrasound scan was carried out, showing perisplenic fluid. A CT scan of the abdomen was performed to exclude splenic lesions. The CT scan revealed a large diverticulum protruding from the gastric fundus. The upper gastrointestinal endoscopy visualized a large diverticular neck situated in the posterior wall of the gastric fundus, partially filled by undigested food. The patient underwent surgery, with an uneventful postoperative course. Histologic examination showed a full-thickness stomach specimen, indicative of a congenital diverticulum. At the 2nd month of follow-up, the patient was asymptomatic.<\/jats:p>","DOI":"10.1155\/2016\/1941293","type":"journal-article","created":{"date-parts":[[2016,5,26]],"date-time":"2016-05-26T17:01:57Z","timestamp":1464282117000},"page":"1-5","source":"Crossref","is-referenced-by-count":6,"title":["Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9941-0883","authenticated-orcid":true,"given":"Mauro","family":"Podda","sequence":"first","affiliation":[{"name":"Department of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Atzeni","sequence":"additional","affiliation":[{"name":"Department of Surgical Science, General, Emergency and Laparoscopic Surgery, University of Cagliari, Blocco G, 09042 Monserrato, 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