Gastric perforation by endoscopic metallic stent for malignant outlet obstruction

Case contributed by Chris O'Donnell

Presentation

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

Patient Data

Age: 65 years
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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