A non-contrast and contrast CT scan of the abdomen shows a bulky, moderately enhanced soft tissue density mass in the pyloric antrum.A gap is seen in the anterior wall of the antrum. Gas is escaping through the gap and extending superiorly and inferiorly through peritoneal space. The air-fluid level is also noted.Multiple peripherally enhancing soft tissue masses are seen in the celiac axis and within the mesentery.Bilateral pleural effusions and huge ascites are noted. |