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Stomach antrum adenocarcinoma with ulcer (Malignant gastric ulcer)

Cunningham PJC - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Stomach antrum adenocarcinoma with ulcer (Malignant gastric ulcer)

History: A 48-year-old white male smoker presented with intermittent epigastric pain - exacerbated by eating.

Findings: The gastric wall near the pylorus is irregular and does not have normal folds. The pylorus is thickened. Near the pylorus there are collections of contrast that are irregular and do not follow the expected contour of lumen. Some may be within ulcers. On close inspection, thin linear collections of barium appear to outline a large filling defect (mass) within the stomach. One of the contrast collections is seen centrally in relationship to this mass. (See detail.) Gastroesophageal reflux is noted incidentally.

Ddx: Benign gastric ulcer Gastric neoplasm with ulcer (possible malignant ulcer)

Dxhow: Imaging and follow-up

Exam: Non-contributory ... no palpable abdominal masses and no tenderness.

No MeSH data available.


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Stomach antrum adenocarcinoma with ulcer (Malignant gastric ulcer)

Cunningham PJC - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2383&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Stomach antrum adenocarcinoma with ulcer (Malignant gastric ulcer)

History: A 48-year-old white male smoker presented with intermittent epigastric pain - exacerbated by eating.

Findings: The gastric wall near the pylorus is irregular and does not have normal folds. The pylorus is thickened. Near the pylorus there are collections of contrast that are irregular and do not follow the expected contour of lumen. Some may be within ulcers. On close inspection, thin linear collections of barium appear to outline a large filling defect (mass) within the stomach. One of the contrast collections is seen centrally in relationship to this mass. (See detail.) Gastroesophageal reflux is noted incidentally.

Ddx: Benign gastric ulcer Gastric neoplasm with ulcer (possible malignant ulcer)

Dxhow: Imaging and follow-up

Exam: Non-contributory ... no palpable abdominal masses and no tenderness.

No MeSH data available.