Gastric outlet obstruction - gastric adenocarcinoma
Iron deficiency anaemia. Endoscopy suspicious for gastric carcinoma. Gastric outlet obstruction?
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Long circumferentially thickening segment of antrum and pylorus with a wall thickeness exceeding 1cm.
The stomach is markedly distended containing food residue.
Perigastric stranding and small volume lymphadenopathy upto 7mm at the site of the thickened gastric wall.
The solid organs are normal.
The appearances are typical of a gatsric adenocarcioma involving the distal stomach resulting in gastric outlet obstruction.
Typical modes of presentation are iron deficiency anemia (as in this case), weight loss or vomiting.
The stomach wall is much better appreciated with a distended stomach lumen (ideally water as a negative contrast agent) when assessing it with CT.
ENDOSCOPIC BIOPSY: Diffuse infiltrating gastric adenocarcinoma