PMC3776544_01
(a) Endoscopic view of the gastric outlet showing an irregular growth with narrowing of lumen. The gastroscope was passed with difficulty beyond this point. (b) Abdominal computed tomography scan showing pyloroantral thickening and distended stomach. (c, d) Histopathological examination image: antral biopsy showing a chronic granulomatous inflammation with Langhans-type giant cells with small foci of caseous necrosis.
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fig1
Computed tomography scan of abdomen suggested thick antrum with dilated stomach, without any lymph node enlargement or ascites (Figure 1(b)). Upper GI endoscopy showed an irregular mass lesion at the antrum and pylorus region with narrowing of the lumen. (Figure 1(a)). On histopathological examination, multiple epithelioid cell granulomas with Langhans-type giant cells and small foci of caseation necrosis were noted (Figures 1(c) and 1(d)).