Interesting case Abdominal 11

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Interesting case Abdominal 11

A patient presents with severe epigastric pain – what’s the diagnosis?

 

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Topics: Abdominal

Key findings and diagnoses: A defect at the lesser curvature of the stomach, suggestive of a ulcer, shows adjacent intraluminal curvilinear high density, suggestive on this arterial phase study of an active arterial bleed. The gastric contests are likely a large volume of blood clot. Incidental note is made of a hyperenhancing liver lesion spanning segments VI / VII, concerning for hepatocellular carcinoma, which requires dedicated liver lesion characterisation imaging

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