Presentation
Non-bilious vomiting and weight loss.
Patient Data
Age: 65 years
Gender: Male
From the case:
Gastric outlet obstruction from gastric adenocarcinoma
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Circumferential increased wall thickness suggestive of tumoral infiltration is present at the gastric antrum and pylorus, causing gastric overdistension. There is no sign of local invasion to the adjacent structures.
Several enlarged lymph nodes are seen in the vicinity of the diseased segment with SAD less than 13 mm.
Several non-enhanced simple cortical cysts are seen in both kidneys.
The prostate gland is enlarged.
Case Discussion
Gastric outlet obstruction (GOO) due to the pathology-proven distal antrum and pylorus adenocarcinoma.
Duodenal or gastric peptic ulcer is the most common cause of GOO. Distal gastric and pylorus adenocarcinoma is the next most common cause.