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Gastric mass-like shadow on abdominal X-ray after vomiting

Yasuyuki Taooka1  

1 Department of General Medicine, Akiota Hospital, Hiroshima, Japan

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Yasuyuki Taooka

MD, FACP, FRSM, Department of General Medicine, Akiota Hospital, 236 Shimodomo- Gohchi, Akiota-Cho, Yamagata-Gun, Hiroshima 731-3622,

Japan

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Article ID: 101160Z01YT2020

doi: 10.5348/101160Z01YT2020CI

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How to cite this article

Taooka Y. Gastric mass-like shadow on abdominal X-ray after vomiting. Int J Case Rep Images 2020;11:101160Z01YT2020.

ABSTRACT

No Abstract

Keywords: Abdominal X-ray, Stomach gas imaging, Submucosal tumor

Case Report

A 61-year-old man was consulted to our hospital complained of repeating vomit after diner with drinking. He felt epigastric discomfort and nausea. On physical examination, tenderness was recognized in the same lesion. On abdominal X-ray, 30-mm diameter of round-shaped mass shadow was observed in the stomach gas imaging (Figure 1A). One-month prior to consultation, he received chest X-ray examination because of another reason. But similar mass-like shadow did not be confirmed in the stomach gas imaging with his chest X-ray (Figure 1B). Blood laboratory examination showed as following: white blood cell count 8150/μL, hemoglobin of 13.7 g/dL, and carcinoembryonic antigen (CEA) 2.1 ng/mL. Gastrointestinal endoscopic view demonstrated submucosal tumor in the posterior wall of gastric fundus lesion (Figure 1C). Finally, 30 × 30 × 25 mm of gastric tumor was surgically resected, and diagnosis of gastrointestinal stromal tumor (GIST) was performed. Immunohistological examination of the tumor showed positive with CD34 and c-kit.

Figure 1: (A) Abdominal X-ray imaging after vomiting. (B) Chest X-ray imaging one-month prior to our consultation. (C) Gastrointestinal endoscopic examination view.

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Discussion

Although GIST is a rare disease [1],[2], plain chest or abdominal X-ray could become a trigger to diagnose gastric tumor when enough air was filled in the stomach. In this case, stomach gas imaging with filled air after repeating vomit was useful for diagnosis.

Conclusion

A case of GIST showing gastric mass-like shadow of abdominal X-ray was reported.

REFERENCES

1.

Akahoshi K, Oya M, Koga T, Shiratsuchi Y. Current clinical management of gastrointestinal stromal tumor. World J Gastroenterol 2018;24(26):2806–17. [CrossRef] [Pubmed]   Back to citation no. 1  

2.

Nishida T, Goto O, Raut CP, Yahagi N. Diagnostic and treatment strategy for small gastrointestinal stromal tumors. Cancer 2016;122(20):3110–8. [CrossRef] [Pubmed]   Back to citation no. 1  

SUPPORTING INFORMATION

Author Contributions

Yasuyuki Taooka - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Author declares no conflict of interest.

Copyright

© 2020 Yasuyuki Taooka. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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