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 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 3cm×4cm 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.

• Authors: Firas Obeidat, Ayman Mismar, Maha Shomaf, Mohammad Yousef, Kamil Fram
• Journal: International journal of surgery case reports (Int J Surg Case Rep) Vol. 4 Issue 6 Pg. 541-3 ( 2013) ISSN: 2210-2612 [Print] Netherlands
• PMID: 23608515 (Publication Type: Journal Article)
• Copyright: Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.