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case_images: (a) Upper gastrointestinal endoscopy showed a Borrmann type3 tumor with pyloric stenosis and bleeding. (b) Contrast-enhanced computed tomography scan showed lymph node involvement around the stomach but no obvious distant metastases.
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case_images: Borrmann Type 3 tumor with pyloric stenosis, which result in bleeding (Fig. 1a). Biopsy of the tumor revealed adenocarcinoma. Abdominal contrast-enhanced computed tomography scan showed a tumor in the pyloric region and enlarged pyloric lymph nodes consistent with metastases (Fig. 1b).
case_images: Images from the partial splenic embolization performed by trans-catheter embolization of the inferior branch of the splenic artery. (a) Pre-embolization. (b) Post embolization.
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case_images: This was performed by trans-catheter embolization of the inferior branch of the splenic artery (Fig. 2).
case_images: Change in platelet count over time. The platelet count increased to 56,000/muL on the day of the gastric resection after partial splenic embolization and high-dose immunoglobulin therapy.
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case_images: The platelet count was >50,000/muL at the time of gastric resection (Fig. 3).