Skip to main content

An unusual case of stomach cancer, Dr. Siddique Akbar Satti, Capital Hospital

Stomach cancer usually presents with the symptoms of indigestion, abdominal fullness, burping, loss of appetite and heart burn. Late symptoms include, hemoptysis, melena, weight loss, weakness or fatigue, and pain after eating. Obstruction of gastric outlet, gastro-esophageal junction and pleural effusion are also late symptoms. Usually it is difficult to catch the gastric cancer in its early stages because patients of gastric cancer usually present with the similar symptoms as those of Peptic Ulcer Disease. So patients keep on getting treatment of peptic ulcer disease while cancer continue to grow. At the time of diagnosis, usually cancer has already been reached to advance stages.

 

In Capital Hospital Islamabad, a 61 year old male patient presented in emergency department complaining of difficulty in swallowing, unable to eat any thing, food regurgitation, vomiting, nausea, lack of appetite, epigastric pain, easy fatigability and significant weight loss. Sometime he also noticed blood in the vomitus. His laboratory investigations show anemia with Hemoglobin level of 9.9 g/dl.

Vomiting followed soon after eating. At first, it was though that he might have got some kind of esophageal problem. So Barium swallow was ordered, which came out normal. Now Dr. Siddique Akbar Satti, decided to go for an upper GI endoscopy. Endoscopy was done by Dr. Siddique Akbar Satti (Head Department of Medicine Capital Hospital Islamabad), which showed following picture.

Raja_Mushtaq_73_20141021_0002Raja_Mushtaq_73_20141021_0001

The above pictures show gastro-esophageal end of stomach. You can see that there is a large annular growth in the stomach that has made the gastric cavity very narrow. This is a large annular tumor and this suggests why barium swallow came out normal. In this patient, this large tumor at the cardiac end of stomach is responsible for dysphagia, food regurgitation, and vomiting soon after eating. Tissue samples were taken and sent for histopathology which showed features of gastric carcinoma.

Raja_Mushtaq_73_20141021_0003

Author:

Dr. Adil R. MBBS

Special Thanks:

Dr. Siddique Akbar Satti, Head Department of Medicine, Capital Hospital Islamabad.

Labels:

Comments

Post a Comment

Post Your Reply and Give Your Opinion About the Post

Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the
Post a Comment
Read more.>>

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you
Post a Comment
Read more.>>