Published in:
01-08-2018 | Classics in Abdominal Radiology
The “leather bottle” stomach
Published in: Abdominal Radiology | Issue 8/2018
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Malignant infiltration of the gastric wall decreases distensibility, narrows the lumen, effaces rugal folds, and creates an appearance on fluoroscopy known metaphorically as a “leather bottle” stomach (Fig. 1), for its resemblance to a leather-made water or wine sack, or “bota” (Fig. 2) [1, 2]. Although originally described on fluoroscopic studies, the abnormal gastric wall is also discernible on cross-sectional imaging (Fig. 3). This finding typically reflects extensive adenocarcinoma invasion of the gastric submucosa and muscularis, with resultant fibrosis and desmoplasia [3].
Fig. 1
A fluoroscopic image from a barium upper gastrointestinal examination shows reduced distensibility, luminal narrowing (red double-headed arrow), and rigidity of the distal stomach
Fig. 2
A leather bottle or bota.
Reproduced with permission from https://upload.wikimedia.org/wikipedia/commons/2/29/Bota_de_vino.jpg on 10/16/2017
Fig. 3
An enhanced CT image from the same patient shown in Figure 1 shows extensive mural thickening of the body and antrum of the stomach (blue double-headed arrows) with associated luminal narrowing (red double-headed arrow)
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