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Year : 2020  |  Volume : 9  |  Issue : 5  |  Page : 2558-2561

Massive gastric distension due to signet-ring cell gastric adenocarcinoma

1 Department of Internal Medicine, Section of Gastroenterology, Ascension Providence Hospital/Michigan State University College of Human Medicine, Southfield, USA
2 Mercy Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
3 American University of the Caribbean, School of Medicine, USA

Correspondence Address:
Dr. Ali Zakaria
16001 W Nine Mile Rd, Department of Internal Medicine, Southfield, MI 48075
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_170_20

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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.

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