Open AccessMassive gastric distension due to signet-ring cell gastric adenocarcinoma
Author(s) -
Ali Zakaria,
Fizan Khan,
Shehbaz Ahmad,
Issam Turk,
J W Levinson
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_170_20
Subject(s) - medicine , gastric outlet obstruction , distension , gastric distension , gastric adenocarcinoma , adenocarcinoma , culprit , etiology , gastroenterology , stomach , signet ring cell , surgery , cancer , myocardial infarction
Chronic massive gastric distention is a rare condition that can occur due to an underlying obstruction or dysmotility. Gastric outlet obstruction (GOO) is often the culprit that can manifest as the result of the luminal, mural, or extrinsic compression. Gastric adenocarcinoma can rarely manifest as massive gastric distention due to partially obstructing mass or peptic stricture. Severe and fatal sequelae may develop, if early detection and appropriate intervention are delayed, such as gastric decompression, endoscopic evaluation and/or surgical resection. Herein, we present a case of a 60-year-old male who presented with progressive worsening of nonspecific symptoms over the 8-month period. He was found to have remarkable massive gastric distention on imaging which was chronic in etiology secondary to GOO due to metastatic signet-ring cell gastric adenocarcinoma.