Gastric perforation by endoscopic metallic stent for malignant outlet obstruction

Case contributed by Dr Chris O'Donnell

Presentation

Gastric outlet obstruction due to pyloric adenocarcinoma, symptomatically treated by metallic stenting. Now vomitting and epigastric pain.

Patient Data

Age: 65
Gender: Male

Persistent gastric outlet obstruction despite stenting with a markedly distended, food-filled stomach lumen. Free gas and fluid in the peritoneal cavity especially adjacent to the proximal end of the stent

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Case Information

rID: 21045
Diagnostic certainty: Almost Certain
Inclusion in quiz mode: Included

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