Gastric outlet obstruction.
Subtotal gastrectomy specimen measuring 10.5 cm along the greater curvature and 4.5 cm along the lesser curvature, with a proximal circumference of 4 cm and a distal circumference of 3 cm. Attached omental tissue measuring 25 x 15 x 2 cm showing four firm nodular masses, the largest measuring 1 cm. On opening, there is an ulcerated solid firm irregular mass measuring 8x5x3.5 cm. The mass infiltrated through the full thickness of the gastric wall into the subserosal and perigastric region. The mass is located 7 cm from proximal margin and reaching to distal resection margin. Twelve lymph nodes were dissected from the fat along the lesser and greater curvatures, the largest measuring 1.7 cm in maximum dimension. The omentum contained