case_images: PMC5411391_01
case_images: Coronal computed tomography image revealing gastric outlet obstruction of the excluded stomach. Arrow reveals thickening of the gastric wall
case_images: AnnGastroenterol-30-367-g001.jpg
case_images: PMC5411391_01_AnnGastroenterol-30-367-g001.jpg
case_images: F1
case_images: Abdominal computed tomography (CT) revealed severe dilation of the stomach, with thickening of the pylorus and duodenal bulb consistent with gastric outlet obstruction of the excluded stomach (Fig. 1).
case_images: Endoscopic view of a large friable, ulcerated mass within the excluded stomach. A later biopsy proved it to be a poorly differentiated gastric adenocarcinoma
case_images: AnnGastroenterol-30-367-g002.jpg
case_images: PMC5411391_01_AnnGastroenterol-30-367-g002.jpg
case_images: F2
case_images: A large, friable, ulcerated mass (Fig. 2) was identified and multiple biopsies were taken, later identified as poorly differentiated adenocarcinoma with signet ring and mucinous features consistent with primary gastrointestinal malignancy.