Metastatic Gastric Cancer Presenting as Incarcerated Ventral Hernia: Report of a Case
作者
Tsung-I Hung, Kuang-En Chu
卷期/出版年月
39卷4期 (2006/8)
頁次
196-199
摘要
Ventral hernia and gastric cancer are both common clinical entities, but their coexistence
is extremely rare. In particular, the occurrence of gastric cancer with tumor
implant inside a ventral hernia has not been reported. We describe a case of gastric
cancer presenting as an incarcerated ventral hernia and discuss methods of
treatment. Cases presenting as peritoneal carcinomatosis with unknown origin are
always a challenge for the physicians to select the most appropriate method to make
the diagnosis. In this particular case, the pathological report obtained directly from
the incarcerated tumor implant showed the tumor to have arisen most probably from
the stomach. We decided to avoid unnecessary examinations except panendoscopy
before achieving the diagnosis. In this way, we relieved the patient s symptoms and
discomfort immediately without further unnecessary invasive procedures such as a
colonoscopy.