Gastric antral adenocarcinoma with outlet obstruction

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Abdominal pain and vomiting.

Patient Data

Age: 40 years
Gender: Male

Increased wall thickness due to tumoral infiltration is present at distal gastric antrum and prepyloric region causing gastric outlet obstruction. There is no sign of local invasion to adjacent structures. A few small regional lymphadenopathies are seen in the vicinity of diseased segment.

Case Discussion

Distal gastric mass (pathology proven adenocarcinoma) with gastric outlet obstruction and small regional lymphadenopathies.
Gastric outlet obstruction can be due to malignant or benign causes such as duodenal or gastric peptic ulcers (most common) and adenocarcinoma (second most common).

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