Gastric outlet obstruction due to carcinoma breast metastasis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

2 week history of nausea and vomiting, new onset epigastric pain worse with eating, relieved by leaning forward, haematemesis, lipase 203.

Patient Data

Age: 70 years
Gender: Female
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Coronal C+
arterial phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
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Info

Diffuse circumferential wall thickening of the gastric antrum/pylorus is noted resulting in luminal narrowing and dilatation of stomach. However, there is no evidence of adjacent organ invasion or concerning lymphadenopathy.

An irregular spiculated soft tissue lesion of right breast is noted.

Histology report

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Histology report confirms gastric antral metastasis from breast carcinoma.

Case Discussion

Histologically confirmed case of gastric antral metastasis from breast carcinoma causing gastric outlet obstruction.

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