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
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3D MIP non-contrast

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