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Linitis Plastica (gastric cancer)

Rexroad JR - MedPix (2014)

View Article: MedPix Image - MedPix Case

Affiliation: Civilian Medical Center

ABSTRACT

Diagnosis: Linitis Plastica (gastric cancer)

History: This 26 y.o. man presents with a three week history of early satiety and postprandial nausea and vomiting.

Findings: Frontal fluoroscopic images from a solid column barium enema and subsequent upper GI study demontrate concentric annular long segment luminal narrowing of the gastric antrum which extends into the pyloric channel. Also, these images demonstrate a concentric annular long segment narrowing of the lumen of the transverse colon from gastrocolic extension. Axial CT images of the abdomen demonstrate gastric wall thickening and concentric narrowing of the gastric antrum and pylorus. Axial CT images also demonstrate long segment narrowing of the transverse colon. These findings are compatible with the patient"s history of gastric adenocarcinoma with spread via the gastrocolic ligament to the transverse colon.

Ddx: Malignant neoplasms Gastric adenocarcinoma Lymphoma (especially Hodgkin disease) Metastases (hematogenous - esp. breast) Granulomatous infiltration Crohn’s disease Sarcoidosis Syphilis Tuberculosis Histoplasmosis Actinomycosis Eosinophilic gastritis Vasculitis Corrosive agents Gastric irradiation Gastric freezing Iron intoxication Hepatic arterial infusion if chemotherapy Stenosing antral gastritis Amyloidosis

Dxhow: Imaging

Exam: Not available

No MeSH data available.


Frontal fluoroscopic spot film image from an upper GI study (performed immediately after a solid column barium enema) demonstrates long segment concentric annular luminal narrowing (arrows) of the gastric antrum extending into the pyloric channel.  Also in the field of view is a long segment area of concentric annular narrowing of the transverse colon (arrowheads).  This is due to spread of the cancer along the gastrocolic ligament of the mesentery.
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MPX2539_synpic9056: Frontal fluoroscopic spot film image from an upper GI study (performed immediately after a solid column barium enema) demonstrates long segment concentric annular luminal narrowing (arrows) of the gastric antrum extending into the pyloric channel. Also in the field of view is a long segment area of concentric annular narrowing of the transverse colon (arrowheads). This is due to spread of the cancer along the gastrocolic ligament of the mesentery.


Linitis Plastica (gastric cancer)

Rexroad JR - MedPix (2014)

Frontal fluoroscopic spot film image from an upper GI study (performed immediately after a solid column barium enema) demonstrates long segment concentric annular luminal narrowing (arrows) of the gastric antrum extending into the pyloric channel.  Also in the field of view is a long segment area of concentric annular narrowing of the transverse colon (arrowheads).  This is due to spread of the cancer along the gastrocolic ligament of the mesentery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2539&req=5

MPX2539_synpic9056: Frontal fluoroscopic spot film image from an upper GI study (performed immediately after a solid column barium enema) demonstrates long segment concentric annular luminal narrowing (arrows) of the gastric antrum extending into the pyloric channel. Also in the field of view is a long segment area of concentric annular narrowing of the transverse colon (arrowheads). This is due to spread of the cancer along the gastrocolic ligament of the mesentery.

View Article: MedPix Image - MedPix Case

Affiliation: Civilian Medical Center

ABSTRACT

Diagnosis: Linitis Plastica (gastric cancer)

History: This 26 y.o. man presents with a three week history of early satiety and postprandial nausea and vomiting.

Findings: Frontal fluoroscopic images from a solid column barium enema and subsequent upper GI study demontrate concentric annular long segment luminal narrowing of the gastric antrum which extends into the pyloric channel. Also, these images demonstrate a concentric annular long segment narrowing of the lumen of the transverse colon from gastrocolic extension. Axial CT images of the abdomen demonstrate gastric wall thickening and concentric narrowing of the gastric antrum and pylorus. Axial CT images also demonstrate long segment narrowing of the transverse colon. These findings are compatible with the patient"s history of gastric adenocarcinoma with spread via the gastrocolic ligament to the transverse colon.

Ddx: Malignant neoplasms Gastric adenocarcinoma Lymphoma (especially Hodgkin disease) Metastases (hematogenous - esp. breast) Granulomatous infiltration Crohn’s disease Sarcoidosis Syphilis Tuberculosis Histoplasmosis Actinomycosis Eosinophilic gastritis Vasculitis Corrosive agents Gastric irradiation Gastric freezing Iron intoxication Hepatic arterial infusion if chemotherapy Stenosing antral gastritis Amyloidosis

Dxhow: Imaging

Exam: Not available

No MeSH data available.