Gastric adenocarcinoma in a girl masquerading as koch’s abdomen

This is a rare case of a pediatric gastric adenocarcinoma which presented like gastric outlet obstruction and mimicked strongly like tuberculosis. Malignancy could not be diagnosed until the post-operative biopsy report. Keywords: Pediatric gastric carcinoma, Gastric adenocarcinoma, Gastric outlet obstruction, Tuberculosis.