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Diagnostic Dilemma: Challenges in Differentiating Gastric Abscess From Malignancy-A Case Report
Barakat Aladwan1, Anas Al-Sadi2, Ma'in Abumuhfouz2
1Internal Medicine Department Hamad Medical Corporation Doha Qatar.
Clinical Case Reports
|July 6, 2026
Summary
Differentiating gastric abscess from a gastric mass can be challenging, even with advanced diagnostics. Surgical resection is often required for a definitive diagnosis of gastric abscess.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gastric abscess presents a diagnostic challenge, often mimicking gastric masses.
- Distinguishing gastric abscess from gastric cancer requires sophisticated investigations.
Purpose of the Study:
- To highlight the diagnostic difficulties in differentiating gastric abscess from gastric malignancy.
- To emphasize the role of surgical resection in achieving a definitive diagnosis.
Main Methods:
- Review of clinical cases presenting with gastric masses.
- Analysis of diagnostic modalities used for gastric lesions.
- Evaluation of histopathological findings post-surgical resection.
Main Results:
- Advanced invasive investigations frequently fail to reliably differentiate gastric abscess from cancer.
- Surgical resection remains a crucial step for accurate diagnosis in many cases.
Conclusions:
- Gastric abscess is a critical differential diagnosis for gastric masses.
- Definitive diagnosis often necessitates surgical intervention due to diagnostic ambiguity.
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