Gastric outlet obstruction due to antral and pylorus tumoural infiltration
Diagnosis almost certain
Presentation
Progressive gastric distention and non-bilious vomiting.
Patient Data
Age: 60 years
Gender: Male
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Gastric overdistention is present due to asymmetrical tumoural infiltration of the antrum and pylorus. Surrounding fat stranding and a few enlarged regional lymph nodes are also observed. There is no sign of local tumoural invasion.
A few peritoneal soft tissue density masses are scattered, inferring tumoural deposits.
A few subcentimetre simple cortical cysts are seen in the kidneys.
The prostate gland is enlarged.
Case Discussion
Gastric outlet obstruction (GOO) due to antral and pylorus tumoural infiltration, pathology-proven adenocarcinoma, with enlarged regional lymph node and peritoneal seeding.
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