Volume 2, Issue 9, Pages (September 2017)

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Presentation transcript:

Volume 2, Issue 9, Pages 236-237 (September 2017) Linitis plastica: a harbinger of an unusual cause of gastric wall thickening Debdeep Banerjee, AB, Saikiran Raghavapuram, MD, Susanne Jeffus, MD, Seamus Murphy, MD, Benjamin Tharian, MD VideoGIE Volume 2, Issue 9, Pages 236-237 (September 2017) DOI: 10.1016/j.vgie.2017.01.010 Copyright © 2017 The Authors Terms and Conditions

Figure 1 CT scan showed mild focal thickening of the distal gastric body and antrum. VideoGIE 2017 2, 236-237DOI: (10.1016/j.vgie.2017.01.010) Copyright © 2017 The Authors Terms and Conditions

Figure 2 EGD showed thickened and rigid mucosal folds throughout the stomach, characteristic of linitis plastica. VideoGIE 2017 2, 236-237DOI: (10.1016/j.vgie.2017.01.010) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Retroflexion on EGD was successfully performed after some difficulty showing prominent mucosal ridges and revealing a “waffle-like” appearance. VideoGIE 2017 2, 236-237DOI: (10.1016/j.vgie.2017.01.010) Copyright © 2017 The Authors Terms and Conditions

Figure 4 EUS showed a thickened gastric wall and loss of normal wall-layer definition with a small amount of perigastric ascites. VideoGIE 2017 2, 236-237DOI: (10.1016/j.vgie.2017.01.010) Copyright © 2017 The Authors Terms and Conditions

Figure 5 EUS-guided FNB showed infiltrative neoplastic cells in the gastric wall consistent with a breast primary that stained positive for estrogen receptors. FNB, fine-needle biopsy. VideoGIE 2017 2, 236-237DOI: (10.1016/j.vgie.2017.01.010) Copyright © 2017 The Authors Terms and Conditions

Figure 6 PET scan showed increased activity along the gastric antrum/first part of the duodenum and metabolically active ascites concerning for potential peritoneal implants. PET, positron emission tomography. VideoGIE 2017 2, 236-237DOI: (10.1016/j.vgie.2017.01.010) Copyright © 2017 The Authors Terms and Conditions