Gastric outlet adenocarcinoma

Case contributed by Dr Ian Bickle

Presentation

Female with upper abdominal discomfort and loss of appetite.

Patient Data

Age: 40 years
Gender: Female
CT

Symmetrical diffuse thickening of the pylorus extending into the duodenum to the D1-D2 junction.

The stomach is distended down to the pylorus in keeping with a degree of gastric outlet obstruction.

No locoregional lymphadenopathy.

Small splenic lesion, likely a cyst.

No peritoneal nodules.

Case Discussion

This case illustrates the value of the use of water (a negative contrast agent) rather than positive oral contrast agents in CT.

The patient is also scanned sooner than with standard oral preparation whilst the water remains in the stomach, in so doing distending the stomach and outlining the wall and mucosa more effectively.

In this case a degree of gastric outlet obstruction from the pylo-duodenal tumour has also made the tumour better illustrated.

Endoscopy biopsy was one of gastric adenocarcinoma.

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Case information

rID: 55239
Case created: 27th Aug 2017
Last edited: 31st Aug 2017
Inclusion in quiz mode: Included

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