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Gastric perforation by endoscopic metallic stent for malignant outlet obstruction

Case contributed by: Dr Chris O'Donnell

Presentation:

Gastric outlet obstruction due to pyloric adenocarcinoma, symptomatically treated by metallic stenting. Now vomitting and epigastric pain.

Patient Data:

Age: 65

Gender: Male

Race: Caucasian

From the case: Gastric perforation by endoscopic metallic stent for malignant outlet obstruction

Modality: CT

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non-contrast

3D MIP

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