Presentation
Work up for epigastric pain, progressive abdominal distention and non-bilious vomiting.
Patient Data
Age: 45 years
Gender: Female
From the case:
Gastric outlet obstruction
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The stomach is over-distended and contrast-filled due to gastric outlet obstruction (GOO). Asymmetrical increased wall thickness is present at the pylorus, accompanied by mild surrounding fat stranding and a few regional enlarged lymph nodes.
Case Discussion
The patient underwent an endoscopy and biopsy, and histopathology evaluation confirmed pyloric adenocarcinoma.
A duodenal or gastric peptic ulcer and then adenocarcinoma are the most common cause of gastric outlet obstruction.