Skeletal Radiology

, Volume 48, Issue 5, pp 813–817 | Cite as

Bone metastases with multiple fluid-fluid levels from gastric cancer: a case report and review of literature

  • Min Chen
  • Huishu YuanEmail author
Case Report


We report the case of a 54-year-old man with 6 months of progressive sacral pain. Computed tomography showed a large osteolytic mass in the sacrum with multiple osteolytic foci in the ilium and lumbar spine. Magnetic resonance imaging revealed multiple fluid-fluid levels in the sacral lesion as well as in the lumbar foci. The multiple bone lesions were initially diagnosed as a primary sacral malignancy with multiple bone metastases. A biopsy of the sacral lesion under the guidance of computed tomography was performed and a metastatic adenocarcinoma from the stomach or lung was found pathologically. Finally, a gastric tubular adenocarcinoma was detected by endoscopic biopsy and the diagnosis of the patient was gastric cancer with uncommon multiple bone metastases.


Metastasis Gastric cancer Fluid-fluid levels Bone tumors 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© ISS 2018

Authors and Affiliations

  1. 1.Peking University Third HospitalBeijingChina

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