Gastric perforation secondary to metastasis from ovarian cancer: Case report

Abstract INTRODUCTION Metastasis from ovarian cancer occurs frequently through the peritoneal cavity in the form of peritoneal carcinomatosis; isolated gastric metastasis is rarely reported in literature. PRESENTATION OF CASE We present a case of 43-year-old infertile lady, who developed a picture o...

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Bibliographic Details
Published in:International journal of surgery case reports 2013-01, Vol.4 (6), p.541-543
Main Authors: Obeidat, Firas, Mismar, Ayman, Shomaf, Maha, Yousef, Mohammad, Fram, Kamil
Format: Article
Language:English
Subjects:
Gastric perforation
Gastrointestinal metastasis
Ovarian cancer
Surgery
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Summary:Abstract INTRODUCTION Metastasis from ovarian cancer occurs frequently through the peritoneal cavity in the form of peritoneal carcinomatosis; isolated gastric metastasis is rarely reported in literature. PRESENTATION OF CASE We present a case of 43-year-old infertile lady, who developed a picture of acute abdomen four days post total abdominal hysterectomy and salpingoopherectomy for ovarian cancer. Further contrast-enhanced CT scan demonstrated massive free gas and fluid in the abdomen. She underwent antrectomy with truncal vagotomy due to 3 cm × 4 cm prepyloric gastric ulcer. Final pathology proved the presence of metastatic serous cystadenocarcinoma of ovarian origin. DISCUSSION Our patient had a gastric perforation secondary to ovarian metastasis. Being isolated, the absence of ascites and the transmural nature of the gastric metastasis suggest haematogenous spread .To the best of our knowledge perforated gastric metastasis secondary to ovarian cancer was not reported in literature before. CONCLUSION Gastric metastasis should be kept in mind in patients with a well-known ovarian cancer who present with gastric lesions, ulcers, bleeding or perforation.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2013.03.002