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Adenocarcinoma of Gastric Antrum

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adenocarcinoma of Gastric Antrum

History: 54yo caucasian male with 3 month history of progressive early satiety, post prandial vomiting and anorexia. Patient reported weight loss in excess of 15 pounds during previous 1 month. Patient has an 80 pack year history of smoking and 25 year history of heavy alcohol ingestion.

Findings: An abdominal CT with contrast was obtained. A. Although this is an abdominal CT with contrast, note the sequestration of contrast material in the stomach secondary to complete gastric outlet obstruction. There is a 2 cm mass posterior to the stomach in the vicinity of the antrum. There is a cleavage plane between the mass and the head of the pancreas which suggests a gastric etiology. There is a large infarct in the right lobe of the liver, most likely secondary to right portal vein thrombosis. B. 2cm gastric mass can be seen. Omental caking is indicative of carcinomatosis is seen anterior to the liver. Significant ascites is noted throughout the abdomen. There are multiple hypodensities in both kidneys which appear consistent with a cystic etiology. Adenopathy is present in the periaortic and parapancreatic regions. C. More evidence of omental caking, ascites, renal cysts and marked adenopathy.

No MeSH data available.


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MPX2054_synpic38088: See case description


Adenocarcinoma of Gastric Antrum

Afiesimama BOA - MedPix (2007)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2054&req=5

MPX2054_synpic38088: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adenocarcinoma of Gastric Antrum

History: 54yo caucasian male with 3 month history of progressive early satiety, post prandial vomiting and anorexia. Patient reported weight loss in excess of 15 pounds during previous 1 month. Patient has an 80 pack year history of smoking and 25 year history of heavy alcohol ingestion.

Findings: An abdominal CT with contrast was obtained. A. Although this is an abdominal CT with contrast, note the sequestration of contrast material in the stomach secondary to complete gastric outlet obstruction. There is a 2 cm mass posterior to the stomach in the vicinity of the antrum. There is a cleavage plane between the mass and the head of the pancreas which suggests a gastric etiology. There is a large infarct in the right lobe of the liver, most likely secondary to right portal vein thrombosis. B. 2cm gastric mass can be seen. Omental caking is indicative of carcinomatosis is seen anterior to the liver. Significant ascites is noted throughout the abdomen. There are multiple hypodensities in both kidneys which appear consistent with a cystic etiology. Adenopathy is present in the periaortic and parapancreatic regions. C. More evidence of omental caking, ascites, renal cysts and marked adenopathy.

No MeSH data available.