Presentation
A known case of ulcerated gastric adenocarcinoma. Now presents with severe abdominal pain, distension, and vomiting.
Patient Data
A non-contrast and contrast CT scan of the abdomen shows a bulky, moderately enhanced soft tissue density mass in the pyloric antrum.
A gap is seen in the anterior wall of the antrum. Gas is escaping through the gap and extending superiorly and inferiorly through peritoneal space. The air-fluid level is also noted.
Multiple peripherally enhancing soft tissue masses are seen in the celiac axis and within the mesentery.
Bilateral pleural effusions and huge ascites are noted.
Endoscopic biopsy result shows moderately differentiated adenocarcinoma of the stomach.
Case Discussion
This patient was diagnosed with gastric adenocarcinoma (ulcerative) and presented with severe abdominal pain, distension, and vomiting. Imaging findings were consistent with perforated ulcerative adenocarcinoma resulting in hydropneumoperitoneum with intra-abdominal metastases.
Perforated gastric carcinoma is a rare and grave condition that requires urgent surgical intervention. Early diagnosis and prompt surgical management are key to a better outcome and prognosis.
Unable to process the form. Check for errors and try again.