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Case scenario 1: Clinical History
A 34 year old woman was referred by her GP to a
gastrointestinal surgeon's clinic with a 3 week history of
epigastric pain and vomiting.
The illness started with an episode of severe upper abdominal pain going through to her back and vomiting small quantities of 'black stuff'.
This lasted for two days, to be replaced by continuous epigastric discomfort.
She was a moderate drinker and smoked two packs of cigarettes a day. She was married and had seven children.
Immediate hospital admission for further investigation was arranged.
Abdominal ultrasound revealed a "very thick-walled stomach" and upper GI endoscopy carried out the following day showed a "circumferential large, ulcerating advanced-looking carcinoma in the lower stomach and antrum covered with clots."
Multiple biopsies were taken and sent for histopathological examination.
