Presentation
Abdominal distension.
Patient Data
Age: 25 years
Gender: Male
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Stomach massively distended with fluid and air, filling the abdominal cavity. No cause for gastric obstruction.
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Nasogastric tube in good position.
Stomach massively distended, could be at first mistaken for pneumoperitoneum.
Case Discussion
Patient with chronic illness (including diabetes) and recurrent gastroparesis. Stomach appeared normal just a few weeks previously (not shown), but he had a history of recurrent events such as this. Without such a supporting history, a malignant obstruction would be a greater concern. This case illustrates how dramatically the stomach can distend and fill the entire abdominal cavity.