Advanced Gastric Cancer Perforation Mimicking Abdominal Wall Abscess
Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed f...
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| Published in | Journal of gastric cancer Vol. 15; no. 3; pp. 214 - 217 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Gastric Cancer Association
01.09.2015
대한위암학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2093-582X 2093-5641 |
| DOI | 10.5230/jgc.2015.15.3.214 |
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| Abstract | Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day. |
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| AbstractList | Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day. Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day.Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day. Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy andexpired on the 82nd postoperative day. Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day. KCI Citation Count: 0 |
| Author | Lee, Junhyun Sung, Kiyoung Baek, Jongmin Park, Ilyoung Lee, Dosang Cho, Jinbeom |
| AuthorAffiliation | Department of Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea |
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| Cites_doi | 10.1002/jso.20307 10.1007/s10120-011-0088-3 10.1016/S0140-6736(95)90637-1 10.1002/bjs.1800830526 10.1097/00000658-200208000-00003 10.1177/000313480206800508 10.1002/jso.10127 10.1038/sj.bjc.6690243 |
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| Keywords | Gastric cancer Stomach rupture Neoplasm invasion |
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| References | Kasakura (10.5230/jgc.2015.15.3.214_ref7) 2002; 68 Kasakura (10.5230/jgc.2015.15.3.214_ref8) 2002; 80 Martin (10.5230/jgc.2015.15.3.214_ref4) 2002; 236 Heimlich (10.5230/jgc.2015.15.3.214_ref6) 1963; 39 Mahvi (10.5230/jgc.2015.15.3.214_ref1) 2012 Jwo (10.5230/jgc.2015.15.3.214_ref5) 2005; 91 Cuschieri (10.5230/jgc.2015.15.3.214_ref3) 1999; 79 Bonenkamp (10.5230/jgc.2015.15.3.214_ref2) 1995; 345 Mahar (10.5230/jgc.2015.15.3.214_ref9) 2012; 15 Bonenkamp (10.5230/jgc.2015.15.3.214_ref10) 1996; 83 |
| References_xml | – volume: 91 start-page: 219 year: 2005 ident: 10.5230/jgc.2015.15.3.214_ref5 publication-title: J Surg Oncol doi: 10.1002/jso.20307 – volume: 15 start-page: S125 issue: Suppl 1 year: 2012 ident: 10.5230/jgc.2015.15.3.214_ref9 publication-title: Gastric Cancer doi: 10.1007/s10120-011-0088-3 – volume: 345 start-page: 745 year: 1995 ident: 10.5230/jgc.2015.15.3.214_ref2 publication-title: Lancet doi: 10.1016/S0140-6736(95)90637-1 – volume: 83 start-page: 672 year: 1996 ident: 10.5230/jgc.2015.15.3.214_ref10 publication-title: Br J Surg doi: 10.1002/bjs.1800830526 – start-page: 1217 volume-title: Sabiston textbook of surgery year: 2012 ident: 10.5230/jgc.2015.15.3.214_ref1 – volume: 236 start-page: 159 year: 2002 ident: 10.5230/jgc.2015.15.3.214_ref4 publication-title: Ann Surg doi: 10.1097/00000658-200208000-00003 – volume: 68 start-page: 434 year: 2002 ident: 10.5230/jgc.2015.15.3.214_ref7 publication-title: Am Surg doi: 10.1177/000313480206800508 – volume: 80 start-page: 181 year: 2002 ident: 10.5230/jgc.2015.15.3.214_ref8 publication-title: J Surg Oncol doi: 10.1002/jso.10127 – volume: 79 start-page: 1522 year: 1999 ident: 10.5230/jgc.2015.15.3.214_ref3 publication-title: Br J Cancer doi: 10.1038/sj.bjc.6690243 – volume: 39 start-page: 243 year: 1963 ident: 10.5230/jgc.2015.15.3.214_ref6 publication-title: Am J Gastroenterol |
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