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Gastric adenocarcinoma (adenocarinome gastrique)

Case contributed by: Dr Rahmoun Fateh

Presentation:

66 years-old man who presented with general decline in health & epigastric heaviness (Homme de 66 ans présente une altération de l'état général avec sensation de pesanteur au niveau de la région épigastrique)

Patient Data:

Age: 66

Gender: Male

From the case: Gastric adenocarcinoma (adenocarinome gastrique)

Modality: CT

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non-contrast

CT abdominale sans injection de PC et avec ingestion d opacifiant gastrique objective un epaississment parietal gastrique formant une masse hypodense et heterogene

presence dune hypodensite de forme triangulaire a base peripherique et sommet hialire de la rate

CT-scan phase with oral contrast (without IV contrast) shows a voluminous subtraction image at the region of the fundus, compatible with an intra-luminal mass. This mass is hypodense and heteregeneous. Moreover, there is a triangular hypodensity involving the upper pole of the spleen.

Portal phase CT-scan shows faint enhancement of the mass previously describe. There is perigastric fat infiltration near the mass which extends to the pancreatic tail. There is splenic artery thrombosis secondary to this infiltration of the mass, which explains the triangular splenic hypodensity.