Gastric outlet obstruction due to carcinomatosis on CT

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Gastric outlet obstruction due to carcinomatosis on CT

acas
Medical Student

64F with ovarian cancer and carcinomatosis presents with abdominal distention, pain, and multiple episodes of N/V which have been worsening for the last month. Dx is gastric outlet obstruction due to carcinomatosis. Surgery was consulted for possible gastrojejunostomy. However, she is a poor surgical candidate, and will get a feeding Jejunostomy tube and a venting Gastrostomy tube instead of a full gastrojejunostomy.

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