Presentation
Dyspepsia and vomiting.
Patient Data
Circumferential increased wall thickness due to tumoral infiltration is present at the distal of gastric antrum and pylorus, causing gastric overdistension.
Several lymphadenopathies are seen in the vicinity of diseased segment.
A few nonenhanced simple cortical cysts are seen in both kidneys.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Grade I spondylolisthesis of L5 on S1 is present with bilateral spondylolysis.
Case Discussion
Gastric outlet obstruction due to distal tumoral infiltration; pathology proved gastric adenocarcinoma.
The most common cause of gastric outlet obstruction is duodenal or gastric peptic ulcers, and the second most common cause is adenocarcinoma.
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