Primary gastric squamous cell carcinoma (PGSCC) accounts for less than 0.2% of all primary gastric carcinoma. Due to its rarity, the etiology is not well known, and the presentation is nonspecific. Several strict criteria have been established for the diagnosis. This case represents a rare occurrence of PGSCC in a 53-year-old man.
Case presentation: A 53-year-old male was presented to the emergency department for the syncope. He was having abdominal discomfort for four weeks and had poor oral intake due to increased abdominal pressure. History: Hypertension, alcoholism and tobacco abuse No changes in weight No dysphagia, melena, hematemesis, and hematochezia Physical examination: A moderately distended, soft abdomen with mild epigastric and right upper quadrant tenderness Hypoactive bowel sounds No supraclavicular lymphadenopathy Laboratory examination: Component Patient value Normalβ¦