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Department of Radiology
Seth G.S. Medical College and K.E.M. Hospital, Mumbai , India
Case of the Day
Case of the Day
A 50-year-old woman came with multiple episodes of blood in vomitus for one month.
A 50-year-old woman came with multiple episodes of blood in vomitus for one month.
Contrast enhanced CT scan of the abdomen shows an irregular, asymmetrically circumferential, heterogeneously enhancing soft tissue thickening of the walls of the gastric fundus and body. The lesion extends exophytically along the left lobe of liver; segments II and III are infiltrated. There is a full thickness discontinuity of the greater curvature about 2.5 cm long. . The soft tissue mass and gastric contents have extended to the perisplenic region. There is loss of fat planes with the tail of pancreas, the left hemidiaphragm and gastroesophageal junction. There are enlarged necrotic lymph nodes along the coeliac axis, the greater curvature of stomach, the left crural, pre and para-aortic regions ; the largest measuring 2.5x2 cm.
Contrast enhanced CT scan of the abdomen shows an irregular, asymmetrically circumferential, heterogeneously enhancing soft tissue thickening of the walls of the gastric fundus and body. The lesion extends exophytically along the left lobe of liver; segments II and III are infiltrated. There is a full thickness discontinuity of the greater curvature about 2.5 cm long. . The soft tissue mass and gastric contents have extended to the perisplenic region. There is loss of fat planes with the tail of pancreas, the left hemidiaphragm and gastroesophageal junction. There are enlarged necrotic lymph nodes along the coeliac axis, the greater curvature of stomach, the left crural, pre and para-aortic regions ; the largest measuring 2.5x2 cm.
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