82-year-old woman presents with persistent stomach pain despite PPI use. For the past 2 months, she has been experiencing a tight sensation in the upper abdomen, with pressure after eating and frequent belching. She eats small amounts regularly, has lost 3 kg, and previously sought help from her GP and the ER, where unfortunately, her stomach issue was not recognized. Her bowel habits are unchanged, with no rectal bleeding, dysphagia, reflux, nausea, or vomiting, but she continues to experience persistent abdominal pain.
Abdominal ultrasound shows a hypoechoic, suspicious lesion at the fundus-corpus junction of the stomach with displacement of air and internal vascularity..
The patient was referred to the gastroenterology department for a gastroscopy. Conclusion of the gastric biopsy: tubular adenocarcinoma.
Tubular adenocarcinoma.
Esther is a freelance sonography technician with a special interest in abdominal and musculoskeletal ultrasound.
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