Presentation
Epigastric pain.
Patient Data
Circumferential, low-attenuation thickening of the distal gastric body and antrum. An area of ulceration can be appreciated along the greater curve of the antrum on the coronal image. No adenopathy. No free fluid or air.
Upper endoscopy report:
The examined esophagus was normal. Three non-bleeding superficial gastric ulcers with no stigmata of bleeding were found in the gastric antrum. The largest lesion was 6 mm in largest dimension. Diffuse moderate inflammation characterized by congestion (edema) and erythema was found in the gastric antrum.
Case Discussion
Three gastric ulcers were responsible for the circumferential, low-attenuation thickening of the distal gastric body and antrum. The major differential in this case would be lymphoma. However, lymphoma would have soft-tissue attenuation, not the low-attenuation thickening in this case which indicated edema.
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