Man
38yo, nurse, could not eat, lost 13 kg for 3 months.
With 3 times of gastroendoscopy and
biopsy he was treated as gastritis with Hp-positive (see gastro
endoscopy and biopsy result) at Medic HCMC
His report of abdominal ultrasound examination pointed out antral thickening like a black
ring (see US1 crossed- section; US 2 longitudinal scanning).
MSCT CE report: gastritis with
antral thickeking (see CT-scan).
At Medic blood tests CEA, CA 72-4,
CA 19-9 are all normal.
Abdominal x-rays with barium showed typical
Linitis Plastica of the antrum.
This patient was admitted to Binh Dan
hospital emergency department to undergo endoscopic US which revealed antral
thickening more than 2 cm.
Total gastrectomy and replacement by
small intestine were performed (see macro: TOTAL GASTRECTOMY)
Microscopic report post op is Adenocarcinoma that invaded to intramuscular wall and going metastasis to
lymph nodes.
