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Epigastric discomfort in a 91-year-old woman
  1. Shigetsugu Takano1,
  2. Akihiro Suzuki2,
  3. Yoshio Masuya2,
  4. Hiroshi Suzuki2,
  5. Masayuki Ohtsuka1
  1. 1 General Surgery, Chiba University, Chiba, Japan
  2. 2 Department of Gastroenterology, Tatsumi Hospital, Ichihara, Japan
  1. Correspondence to Dr Shigetsugu Takano, General Surgery, Chiba University, Chiba 260-8670, Japan; stakano{at}faculty.chiba-u.jp

https://doi.org/10.1136/flgastro-2020-101578

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    Clinical presentation

    A 91-year-old woman presented to our hospital with back pain and upper abdominal discomfort. The coronal image of abdominal CT revealed the wall thickness of the upper stomach and abdominal ascites with left pleural effusion (figure 1). Gastrointestinal endoscopy showed the lumen narrowing near the wall thickening with remarkable mucosal oedema of the gastric wall in the fornix of the stomach (figure 2). Gastric tumours or polyps were not observed in the stomach.

    Figure 1

    Abdominal CT of the upper stomach showing a typical ‘target-shaped appearance’.

    Figure 2

    Gastrointestinal endoscopy showing the lumen of the stomach …

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    Footnotes

    • Contributors ST, AS and YM were involved in the examinations and wrote the manuscript. HS constructed the figures and editing of the manuscript. MO provided clinical supervision and edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.