Abstract
INTRODUCTION:
Metastasis
from ovarian cancer occurs frequently through the peritoneal cavity in
the form of peritoneal carcinomatosis;
isolated gastric (stomach) 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.
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