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Fig. 1A. —55-year-old man with metastatic linitis plastica of rectum. Patient underwent subtotal gastrectomy for gastric cancer (poorly differentiated type) 43 months previously and then underwent palliative sigmoid loop colostomy. Contrast-enhanced CT scan shows concentric rectal wall thickening (arrowheads) with target sign. Images revealed 3-cm mass (not shown) in rectovesical pouch. Bladder wall is thickened (arrows). Proctoscopy and cystoscopy confirmed tumor infiltration to rectum and bladder.





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