Gastric perforation by endoscopic metallic stent for malignant outlet obstruction
Diagnosis almost certain
Presentation
Gastric outlet obstruction due to pyloric adenocarcinoma, symptomatically treated by metallic stenting. Now vomiting and epigastric pain.
Patient Data
Age: 65 years
Gender: Male
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Persistent gastric outlet obstruction despite stenting with a markedly distended, food-filled stomach lumen. Free gas and fluid in the peritoneal cavity especially adjacent to the proximal end of the stent
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