case_images: PMC10516756_01
case_images: axial view of abdominal CT scan showing gastric wall thickening; differential, Linitis plastica
case_images: PAMJ-45-113-g001.jpg
case_images: PMC10516756_01_PAMJ-45-113-g001.jpg
case_images: F1
case_images: A differential of Linnitis Plastica was made (Figure 1).
case_images: normal colonoscopy findings
case_images: PAMJ-45-113-g002.jpg
case_images: PMC10516756_01_PAMJ-45-113-g002.jpg
case_images: F2
case_images: He was booked for endoscopy (upper and lower) but he was too ill to withstand the entire procedure (however colonoscopy was normal, Figure 2).
case_images: PMC10516756_02
case_images: sagittal view showing diffuse lytic lesions in the lumbar vertebrae
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case_images: PMC10516756_02_PAMJ-45-113-g003.jpg
case_images: F3
case_images: An initial CT scan of the lumbosacral spine, however, noted widespread patchy osteolytic bone lesions within the vertebral bodies, pelvic bones and proximal femur suggesting multiple myeloma to rule out metastasis to the spine/bones (Figure 3).
case_images: bone marrow aspiration (bma) slide showing foreign cells and numerous dying cells suggestive of marrow infiltration with increased ineffective haemopoiesis
case_images: PAMJ-45-113-g004.jpg
case_images: PMC10516756_02_PAMJ-45-113-g004.jpg
case_images: F4
case_images: Bone marrow aspiration cytology was suggestive of metastatic secondaries to the bone marrow to rule out myelodysplastic syndrome & multiple myeloma (Figure 4).
case_images: coronal view of abdominal CT scan showing gastric wall thickening
case_images: PAMJ-45-113-g005.jpg
case_images: PMC10516756_02_PAMJ-45-113-g005.jpg
case_images: F5
case_images: Gastric wall thickening was also evident (Figure 5, Figure 6).
case_images: axial chest CT scan showing right para tracheal and bilateral hilar lymphadenopathy
case_images: PAMJ-45-113-g006.jpg
case_images: PMC10516756_02_PAMJ-45-113-g006.jpg
case_images: F6
case_images: Gastric wall thickening was also evident (Figure 5, Figure 6).