Gastric outlet obstruction - gastric carcinoma

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Admitted with distended abdomen and vomiting.

Patient Data

Age: 55 years
Gender: Male
This study is a stack
Axial C+ portal
venous phase
Coronal C+ portal
venous phase
Coronal C+ portal
venous phase
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Info

Grossly distended stomach, containing a large volume of debris.  Thickening and enhancement of the anturm/pylorus of the stomach, suggestive of a tumor.

Surgical
sample
cut
specimen
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Info

Gastroscopy and biopsy - proven adenocarcinoma. Patient proceeded to surgery.

Stenosing tumor, which caused the gastric outlet obstruction - gross specimen post partial gastrectomy.

Distal gastrectomy (unopen gross specimen).

Stenosing tumor at the antropyloric region (open specimen)

Case Discussion

Surgical correlate images for a gastric malignancy causing outlet obstruction.

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