Abstract: We report a difficult‐to‐diagnose case of Borrmann type IV gastric cancer with poor typical findings and marked colonic stenosis in a 47‐year‐old man and present a literature review. Abstract : We report a difficult‐to‐diagnose case of Borrmann type IV gastric cancer with poor typical findings and marked colonic stenosis in a 47‐year‐old man and present a literature review.