PMC3161654_01
Abdominal CT demonstrating the large, distended fluid-filled gastric remnant, obstructed by a mass at the anastomotic site (arrow) consistent with malignant neoplasm. Disease recurrence of ductal adenocarcinoma of the pancreas was suspected.
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An abdominal CT scan performed with intravenous contrast media revealed a mass in the previous location of the pancreatic head (Fig. 1).
Signet-ring carcinoma cells with high degree of pleomorphism (vary in size and shape). Intracellular mucin displaces the nuclei to the periphery of the tumor cells. Mucicarmine stain, original magnification x 400.
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Stage IB (UICC, T2bN0M0) ulcerated signet-ring cell carcinoma of the gastric stump was histologically verified (Fig. 2).