9 Narrowing of the Stomach

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

• Fig GI 9-1 Scirrhous carcinoma of the stomach producing a linitis plastica pattern.

• Fig GI 9-2 Adenocarcinoma of the stomach causing segmental constriction of the antrum.

• Fig GI 9-3 Metastatic pancreatic carcinoma. Circumferential narrowing of the distal stomach (arrow) secondary to enlarged perigastric lymph nodes.

• Fig GI 9-4 Peptic ulcer disease causing antral narrowing and rigidity (arrow). Note the metallic clips from a previous vagotomy.

• Fig GI 9-5 Crohn's disease of the stomach (ram's horn sign).19

• Fig GI 9-6 Tuberculosis of the stomach. Fibrotic healing narrows and stiffens the distal antrum.

• Fig GI 9-7 Phlegmonous gastritis. Irregular narrowing of the antrum and distal body of the stomach with effacement of mucosal folds along the lesser curvature and marked thickening of folds along the greater curvature.20

• Fig GI 9-8 Corrosive stricture of the antrum after the ingestion of hydrochloric acid.

• Fig GI 9-9 Radiation therapy. Luminal narrowing and severe thickening of the wall of the stomach (arrow).

• Fig GI 9-10 Echinococcal cystic disease. Narrowing of the lumen of the stomach secondary to extrinsic impression by a huge liver.