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Epigastric discomfort after outpatient endoscopy
  1. L Kamper,
  2. P Haage
  1. 1
    Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, Wuppertal, Germany
  1. Dr L Kamper, Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, University Hospital Witten/Herdecke, Heusnerstr. 40, 42283 Wuppertal, Germany; lars.kamper{at}

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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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  • Competing interests: None.

  • Patient consent: Obtained.

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