Gastric outlet obstruction due to antral adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain , dyspepsia and vomiting.

Patient Data

Age: 55 years
Gender: Male

Increased wall thickness, suggestive of tumoral infiltration, is present at the gastric antrum and pylorus, accompanied by a few small regional lymphadenopathies with SAD less than 13 mm. There is no frank sign of local invasion into adjacent structures.

In imaged portions of the lower thorax, a tiny amount of pleural effusion is present at the left side, accompanied by mild adjacent lung collapse. In addition, a few subpleural nodules are noted bilaterally less than 10 mm.

The prostate gland is enlarged. 

Case Discussion

Gastric antrum tumoral infiltration; pathology proved adenocarcinoma, causing gastric outlet obstruction

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