Presentation
Epigastric pain
Patient Data
- Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Multiple rounded structures in the region of the gastrohepatic ligament. The structures do not enhance to the same degree as the portal vein, making gastric varices unlikely. The structures most probably represent enlarged lymph nodes. The scan also demonstrated moderate thickening of the gastric wall (not shown).
Case Discussion
An endoscopy was performed and a gastric ulcer found. Biopsies of the ulcer showed no evidence of malignancy. The final diagnosis is gastric ulcer with reactive lymph node enlargement.
95% of gastric ulcers are benign. 20-30% are multiple. Major risk factors include:
Minor risks factors include:
- steroids
- smoking
- alcohol
- coffee
- stress
Less common causes include Zollinger-Ellison syndrome, hyperparathyroidism, head injury (Cushing ulcer), or burns (Curling ulcer).
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