• World J. Gastroenterol. · Mar 2015

    Case Reports

    Pediatric gastric cancer presenting with massive ascites.

    • Chien-Heng Lin, Wei-Ching Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, and An-Chyi Chen.
    • Chien-Heng Lin, I-Hsiu Lai, Shu-Fen Wu, Kang-Hsi Wu, An-Chyi Chen, Department of Pediatrics, Children's Hospital, China Medical University Hospital, Taichung 404, Taiwan.
    • World J. Gastroenterol. 2015 Mar 21; 21 (11): 3409-13.

    AbstractGastric adenocarcinoma is quite rare in children and as a result very little experience has been reported on with regards to clinical presentation, treatment and outcome. We describe the case of a 16-year-old boy presenting with abdominal fullness and poor appetite for 7 d. Sonography showed massive ascites and computed tomography imaging revealed the presence of gastric mucosa thickness with omentum caking. The diagnosis of gastric adenocarcinoma was biopsy-proven endoscopically. Despite gastric adenocarcinoma being quite rare in the pediatric patient population, we should not overlook the possibility of gastric adenocarcinoma when a child presents with distended abdomen and massive ascites.

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