Pediatric gastric cancer presenting with massive ascites

Figure 1 Massive ascites, gastric mucosa thickness, and caking omentum are shown by arrows on the coronal view of abdominal computed tomography.

Figure 2 Endoscopy of our patient revealed blizzard morphology and nodular appearance on gastric mucosa (A), and with antral ulcers (B). Biopsy was performed on the margin of the ulcers.

Figure 3 Histologic analysis of the specimen by the endoscopic gastric mucosal biopsy shows round-oval neoplastic cells arranged in abortive glandular pattern or individually over the lamina propria and signet-ring tumor cells are identified. Hematoxylin and eosin staining, magnification × 400.

Figure 4 Helicobacter bacilli can be identified on Warthin-Starry stains (× 400), as shown by arrowheads.