Gastric cancer with large bowel obstruction as the first presentation: A case report

Yu,Xiuyan; Zhang,Junshu

doi:10.3892/ol.2013.1540

November 2013 Volume 6 Issue 5

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November 2013 Volume 6 Issue 5

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Case Report

Gastric cancer with large bowel obstruction as the first presentation: A case report

Authors:
- Xiuyan Yu
- Junshu Zhang
View Affiliations / Copyright

Affiliations: Department of Surgery, Second Affiliated Hospital (Binjiang Branch), Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P.R. China, Department of Surgery, Linan People's Hospital, Hangzhou, Zhejiang 311300, P.R. China
Pages: 1377-1379
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Published online on: August 22, 2013

https://doi.org/10.3892/ol.2013.1540
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Abstract

Gastric adenocarcinoma with a large bowel obstruction as the first presentation of the condition is rare. The present study describes the case of a 59‑year‑old female who was diagnosed with a large bowel obstruction that was caused by gastric adenocarcinoma. The patient suffered from abdominal pain and had not defecated for 15 days. The patient had no significant medical history. The right epigastric region was slightly tender and active bowel sounds were identified. A computed tomography (CT) scan revealed a dilated fluid‑filled colon with a thickened wall and adjacent fat infiltration. An upper gastrointestinal endoscopy revealed that the margin and gastric mucosa in the antrum were raised and thickened without evidence of ulcerative lesions. The patient underwent surgery and was administered adjuvant chemotherapy. The patient was followed-up for 18 months without recurrence of the tumor. This study demonstrates that the presentation of gastric cancer may vary.

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1	Hartgrink HH, Jansen EP, van Grieken NC and van de Velde CJ: Gastric cancer. Lancet. 374:477–490. 2009. View Article : Google Scholar
2	Fernández-Fernández FJ and Sesma P: Gastric cancer. Lancet. 374:1594–1595. 2009.
3	Tomikashi K, Mitsufuji S, Kanemasa H, Sakai M, Wakabayashi N and Tsuchihashi Y: Gastric cancer metastatic to the colon. Gastrointest Endosc. 55:5612002. View Article : Google Scholar : PubMed/NCBI
4	Kumagai K, Saikawa Y, Fukuda K, et al: Octreotide acetate successfully treated a bowel obstruction caused by peritoneally disseminated gastric cancer, thereby enabling the subsequent use of oral S-1 chemotherapy. Int J Clin Oncol. 14:372–375. 2009. View Article : Google Scholar
5	Fukuda Y, Fujio N, Ihara T, et al: A case of advanced gastric cancer with direct invasion of the transverse colon responding to paclitaxel/5′-DFUR combined therapy. Gan To Kagaku Ryoho. 32:1945–1948. 2005.In Japanese.
6	Feczko PJ, Collins DD and Mezwa DG: Metastatic disease involving the gastrointestinal tract. Radiol Clin North Am. 31:1359–1373. 1993.PubMed/NCBI
7	Power DG, Kelsen DP and Shah MA: Advanced gastric cancer - slow but steady progress. Cancer Treat Rev. 36:384–392. 2010. View Article : Google Scholar : PubMed/NCBI
8	Yin XD, Huang WB, Lü CY, Zhang L, Wang LW and Xie GH: A preliminary study on correlations of triple-phase multi-slice CT scan with histological differentiation and intratumoral microvascular/lymphatic invasion in gastric cancer. Chin Med J (Engl). 124:347–351. 2011.
9	Oh JY, Cho JH, Kang MJ, et al: CT findings. Clin Radiol. 66:966–973. 2011. View Article : Google Scholar
10	Kaise M, Kato M and Tajiri H: High-definition endoscopy and magnifying endoscopy combined with narrow band imaging in gastric cancer. Gastroenterol Clin North Am. 39:771–784. 2010. View Article : Google Scholar : PubMed/NCBI
11	Furukawa K, Miyahara R, Itoh A, et al: Diagnosis of the invasion depth of gastric cancer using MDCT with virtual gastroscopy: comparison with staging with endoscopic ultrasound. AJR Am J Roentgenol. 197:867–875. 2011. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Gastric cancer with large bowel obstruction as the first presentation: A case report

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Abstract

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