PMC10462448_01
Axial CT view showing the large gastric mass.
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Initial CT imaging showed a large complex gastric mass extending both posterior and anterior to the gastric lumen, including a greater than 6 cm component extending posteriorly and contiguous with the distal body and tail and a greater than 10 cm component extending anteriorly contiguous with the splenic flexure colon (Figures 1-3).
Axial CT view 2 showing the large gastric mass.
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Initial CT imaging showed a large complex gastric mass extending both posterior and anterior to the gastric lumen, including a greater than 6 cm component extending posteriorly and contiguous with the distal body and tail and a greater than 10 cm component extending anteriorly contiguous with the splenic flexure colon (Figures 1-3).
Coronal CT view of the large complex gastric mass.
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Initial CT imaging showed a large complex gastric mass extending both posterior and anterior to the gastric lumen, including a greater than 6 cm component extending posteriorly and contiguous with the distal body and tail and a greater than 10 cm component extending anteriorly contiguous with the splenic flexure colon (Figures 1-3).
Endoscopic ultrasound showing perigastric hematoma and associated collateral vessels.
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Subsequent EUS showed type 1 isolated gastric varices in the fundus and a large intraabdominal fluid collection likely representing bleeding from collaterals, given continuity with adjacent prominent collaterals (Figures 4 and 5).
Endoscopic ultrasound view 2 showing perigastric hematoma and associated collateral vessels.
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Subsequent EUS showed type 1 isolated gastric varices in the fundus and a large intraabdominal fluid collection likely representing bleeding from collaterals, given continuity with adjacent prominent collaterals (Figures 4 and 5).