Editor's quiz: GI snapshot
Epigastric discomfort after outpatient endoscopy
1 Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, Wuppertal, Germany
Correspondence to:
Dr L Kamper, Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, University Hospital Witten/Herdecke, Heusnerstr. 40, 42283 Wuppertal, Germany; lars.kamper@helios-kliniken.de
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
An outpatient esophagogastroduodenoscopy (EGD) was performed in a 59-year-old man with a history of chronic epigastric discomfort and postprandial nausea. The histological analysis demonstrated a small low-grade adenocarcinoma of the gastric antrum. The patient was referred to our hospital for surgical resection. He reported worsening of the abdominal pain after the endoscopic examination 8 days previously. Abdominal sonography revealed no pathological findings. For preoperative staging an abdominal computed tomography scan was conducted (fig 1).
Figure 1 Subdiaphragmal, contrast-enhanced, axial, computed tomography scan, soft tissue window (A) and modified lung window (B).
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QUESTION
What is the diagnosis?
See page 1314 for the answer
This case is submitted by:
Competing interests: None.
Patient consent: Obtained.
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ANSWER
Gut 2008 57: 1314.[Extract] [Full Text] [PDF]
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