Presentation
Known case of gastric adenocarcinoma. Now presents with abdominal pain, vomiting, and abdominal distension.
Patient Data
Diffuse infiltrative gastric wall thickening is noted throughout the whole length of the stomach, resulting in severe luminal narrowing. The size and volume of the stomach are reduced markedly. Even with oral contrast administration, no significant distension of the gastric lumen is noted. The maximum wall thickness is 18 mm. No extension of the lesion is seen outside the gastric wall.
Huge ascites are noted, resulting in the clumping of bowel loops.
Marked omental thickening.
Endoscopic gastric biopsy specimen histopathology analysis revealed poorly differentiated adenocarcinoma - grade 3
Case Discussion
Linitis plastica refers to a descriptive term that represents an infiltrative process and rigid gastric wall, resulting in luminal narrowing and diminished luminal volume. Due to a reduction in gastric capacity, these patients usually present with dyspepsia, dysphagia, abdominal pain, and vomiting. Adenocarcinoma is one of the major causes of this condition.
Other causes that may lead to linitis plastica are metastasis, lymphoma, inflammatory conditions, and radiotherapy.
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