AI Article Synopsis

  • * The first signs of this disease, like stomach pain, feeling full, and not wanting to eat, can be confusing and look like other problems.
  • * In this case, a 15-year-old girl had extra fluid in her belly and lungs, and doctors figured out she had stomach cancer through a special exam of her stomach, showing how important this test is for unclear cases.

Article Abstract

Primary gastric adenocarcinoma is extremely rare in children, and accounts for 0.05% of all gastrointestinal malignancies during childhood. The initial symptoms of epigastric pain, feeling of fullness, belching, and loss of appetite are non-specific and misleading. Nausea, vomiting and weight loss may accompany, which also complicate reaching a prompt diagnosis. In the presented case, a 15-year-old girl admitted with ascites, pleural effusion, right supra-clavicular lymphadenopathy, and back pain. No primary focus of a malignancy was accomplished in radiological evaluation, and the diagnosis of gastric carcinoma was achieved with upper gastrointestinal system endoscopy. We point out the importance of upper gastrointestinal system endoscopy in patients with ascites and uncertain diagnosis of the primary focus of malignancy.

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