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Image challenge.


This case was contributed by 

Dr Ali Al Ahmari

Head Gastroenterology

Al Hada Military Hospital 

Taif Saudi Arabia 


Case scenario:

A 54 yr. old male was admitted with history of fatigue and generalized malaise of six weeks’ duration. He also complained of postprandial fullness and an episode of non-bilious vomiting. Systemic examination was normal.

Patient underwent Upper GI endoscopy  as shown in Fig A  

CT scan abdomen showed diffuse thickening in antral area (red arrow) Fig B .

The biopsy is shown in Fig C

What is the most likely diagnosis ?


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