case_images: PMC3590497_01
case_images: CT scan showing the lesion affecting stomach and with invasion of the left hepatic lobe and the pancreas.
case_images: CRIM.MEDICINE2013-609727.001.jpg
case_images: PMC3590497_01_CRIM.MEDICINE2013-609727.001.jpg
case_images: fig1
case_images: The computed tomography (CT scan) revealed a large abdominal tumor affecting the excluded stomach and with signs of invasion of the left hepatic lobe and the pancreas (Figure 1).
case_images: Surgical specimen.
case_images: CRIM.MEDICINE2013-609727.002.jpg
case_images: PMC3590497_01_CRIM.MEDICINE2013-609727.002.jpg
case_images: fig2
case_images: The patient underwent total gastrectomy, including the excluded stomach, distal pancreatectomy and splenectomy, left hepatectomy and segmental colectomy with Roux-en-Y esophagojejunal anastomosis, and primary colocolic anastomosis because there was true carcinomatosis invasion of adjacent organs (Figures 2 and 3).
case_images: Detail of the tumor: gastric pouch and bypassed stomach sectioned.
case_images: CRIM.MEDICINE2013-609727.003.jpg
case_images: PMC3590497_01_CRIM.MEDICINE2013-609727.003.jpg
case_images: fig3
case_images: The patient underwent total gastrectomy, including the excluded stomach, distal pancreatectomy and splenectomy, left hepatectomy and segmental colectomy with Roux-en-Y esophagojejunal anastomosis, and primary colocolic anastomosis because there was true carcinomatosis invasion of adjacent organs (Figures 2 and 3).
case_images: PET-CT showed peritoneal carcinomatosis in coronal reconstruction.
case_images: CRIM.MEDICINE2013-609727.004.jpg
case_images: PMC3590497_01_CRIM.MEDICINE2013-609727.004.jpg
case_images: fig4
case_images: PET-CT showed peritoneal carcinomatosis (Figures 4 and 5). Palliative chemotherapy was again introduced.
case_images: Peritoneal lesions with high SUV on PET-CT.
case_images: CRIM.MEDICINE2013-609727.005.jpg
case_images: PMC3590497_01_CRIM.MEDICINE2013-609727.005.jpg
case_images: fig5
case_images: PET-CT showed peritoneal carcinomatosis (Figures 4 and 5). Palliative chemotherapy was again introduced.