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Case Report

A Rare Cause for Intractable Hiccups in a Patient with Chronic Kidney Disease

D. Viswanath Reddy* , D. Viswanath Reddy* , G.R. Srinivas Rao* , V. Suresh Babu**

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Gastroenterology International 1(2):p 53-56, . | DOI: N/A
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Abstract

 Hiccups are self-limiting disorder caused due to involuntary spasms of the diaphragm and intercostal muscles leading to sudden inspiration and a characteristic sound. Hiccups are known to occur in patients with Chronic kidney disease but usually get corrected on dialysis and rectification of electrolyte imbalance. Here we describe a 60 year old male with Diabetic Nephropathy with intractable hiccups which persisted even after regular haemodialysis and electrolyte management. On Upper GI endoscopy, we found a gastric diverticulum in fundus with pus oozing from within which was confirmed to be Gastric diverticulitis. Hiccups got alleviated with antibiotic course. Incidence of Gastric Diverticulum is very rare (0.01-0.11%) on endoscopy. Presenting with hiccups is even more rare and has not been described till now. This case also highlights the importance of full inflation while performing an endoscopy.

Keywords: Hiccups; Chronic Kidney Disease; Diabetic Nephropathy; Endoscopy; Gastric Diverticulum.

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  • D. Viswanath Reddy*
    ,
  • D. Viswanath Reddy*
    ,
  • G.R. Srinivas Rao*
    ,
  • V. Suresh Babu**
    ,
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