台灣外科醫學會雜誌

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篇名	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.
關鍵詞	gastric cancer, incarcerated ventral hernia
分類	Case Report