患者男性，73岁。无明显诱因出现上腹隐痛伴恶心呕吐咖啡色液体10余次，每次叨一4（）In解黑色稀便2次。胃镜下拟诊“责门胃体癌并幽门溃疡”，活检示小块炎性坏死组织。查体：患者呈慢性病容，查体无阳性发现，胸透无异常。胃肠钡餐示责门、胃窦及幽门管多处龛影，考虑胃多灶 Male patient, 73 years old. No obvious incentive to appear with abdominal pain with nausea and vomiting brown liquid more than 10 times, each one hundred and four () In solution black loose stool 2 times. Gastroscopy to be diagnosed, “responsible for gastric cancer and pyloric ulcer”, biopsy showed small pieces of inflammatory necrosis. Physical examination: patients were chronic disease, physical examination found no positive, no abnormal chest through. Gastrointestinal barium meal show responsibility, gastric antrum and pyloric canal more than Kanying shadow, consider multifocal stomach