Interesting Image

Mass-like Appearance on ¹⁸F-FDG PET/CT: Cascade Stomach

10.4274/mirt.galenos.2022.83798

• Ayça Arçay
• Funda Aydın
• Mete Akın

Received Date: 08.10.2021 Accepted Date: 01.01.2022 Mol Imaging Radionucl Ther 2022;31(3):250-251 PMID: 36268940

• Abstract
• Full Text
• Video - Image
• References
• 10
• 598

A 56-year-old female patient who had involuntary weight loss underwent ¹⁸F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) for detection of malignancy. The scan revealed non-metabolic soft tissue density in the posterior wall of the stomach requiring endoscopy. Endoscopical examination was performed 9 days after PET/CT and cascade stomach was detected. Cascade stomach is a rare entity that can be diagnosed by radiographic barium evaluations and endoscopy, the appearance on CT is largely incidental and CT has rarely been relied on for the diagnosis. We present this incidental case of cascade stomach on PET/CT to be familiar with the appearance.

Keywords: Cascade stomach, 18F-FDG PET/CT, CT

Ethics

Informed Consent: Written inform consent was obtained from the patient.

Peer-review: Externally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: A.A., F.A., M.A., Concept: A.A., F.A., Design: A.A., Data Collection or Processing: A.A., F.A., M.A., Analysis or Interpretation: A.A., Literature Search: A.A., Writing: A.A.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.

Images

1. Gulsen MT, Koruk I, Dogan M, Beyazit Y. Diagnostic accuracy of cascade stomach by upper gastrointestinal endoscopy in patients with obscure symptoms: a multi-center prospective trial. Clin Res Hepatol Gastroenterol 2011;35:489-493.
2. Schouten R, Freijzer PL, Greve JW. Laparoscopic sleeve resection of a recurrent gastric cascade: a case report. J Laparoendosc Adv Surg Tech A 2007;17:307-310.
3. Spriggs EA, Marxer OA. Kinking, rotation, and twisting of the stomach, with special reference to cascade stomach and chronic gastric volvulus. Br Med J 1954;2:325-330.
4. Sirakov V, Stefanov R, Shipkov C. The most common cause of cascade stomach. Folia Med (Plovdiv) 1994;36:37-39.
5. Battisti G, Natali G, Manno A, Stio F, Palazzini G, Granai AV, Scaldaferri T, Porcelli C, Gabatel R, Messinetti S. “Cascade stomach”: laparoscopic treatment. Endoscopy 1998;30:S92-S93.
6. Kusano M, Hosaka H, Moki H, Shimoyama Y, Kawamura O, Kuribayashi S, Mori M, Akuzawa M. Cascade stomach is associated with upper gastrointestinal symptoms: a population-based study. Neurogastroenterol Motil 2012;24:451-455, e214.
7. Keller RJ, Khilnani MT, Wolf BS. Cascade stomach. Roentgen appearance and significance. Am J Roentgenol Radium Ther Nucl Med 1975;123:746-754.
8. Kusano M, Hosaka H, Yasuoka H, Kawamura O, Kawada A, Kuribayashi S, Shimoyama Y, Mizuide M, Tomizawa T, Ishihara S, Sagawa T, Akiyama J, Sato K, Kakizaki S, Moki F. New endoscopic classification of cascade stomach, a risk factor for reflux esophagitis. J Gastroenterol 2017;52:211-217.