49 y.o, female, stick-thin figure, vitally stable, no past medical and surgical history.

Current complaints: delay of gastric emptying, abdominal f... Показать все

49 y.o, female, stick-thin figure, vitally stable, no past medical and surgical history.

Current complaints: delay of gastric emptying, abdominal fullness, nausea, vomiting, progressive fatigue, weight loss were started 4 months back, but last 2,5 months with exacerbation.

On examination: On examination she appeared alert and oriented. Abdomen was soft, other systems were

normal.

CT scan showed signs of diffuse thickening of gastric wall. Multiple swollen lymphatic nodes in abdomen and retroperitoneal space. Small pancreatic cyst. Lower left hydrothorax. Interstitial fibrosis of both lungs.

Upper endoscopy done. Multiple biopsies taken.

Photos attached.

Kindly for your opinion.

Futher investigation and management Скрыть