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An upper abdominal swelling causing nausea and vomiting
  1. I Oliver,
  2. D Costa,
  3. J Lacueva,
  4. R Calpena
  1. Department of Pathology and Surgery, Elche University General Hospital, Elche (Alicante), Spain
  1. Correspondence to:
    Dr I Oliver
    Department of Pathology and Surgery, Elche University General Hospital, Camí de ĺAlmazara, # 11, 03202 Elche (Alicante), Spain; israel.oliver{at}

Statistics from

Clinical presentation

A 75 year old woman was admitted to Elche University General Hospital for further evaluation of nausea and vomiting related to meals for one month. She had previously been well with no history of liver disease, dysphagia, or peptic ulcer. On routine physical examination an abdominal mass was discovered in the right upper quadrant and epigastrium. Results of laboratory studies and liver function tests were normal. Also, she had never been abroad and had no contact with livestock. Upper endoscopy showed extrinsic compression of the gastric lesser curve. A helical computed tomography scan was therefore done.


What does this investigation show (fig 1)?

Figure 1

 Helical computed tomography scan.

See page 842 for answer

This case is submitted by:


  • Robin Spiller, Editor

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