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KMID : 0914820150150030214
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Journal of the Korean Gastric Cancer Association
2015 Volume.15 No. 3 p.214 ~ p.217
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Advanced Gastric Cancer Perforation Mimicking Abdominal Wall Abscess
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Cho Jin-Beom
Park Il-Young
Lee Do-Sang
Sung Ki-Young
Baek Jong-Min
Lee Jun-Hyun
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Abstract
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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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KEYWORD
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Gastric cancer, Neoplasm invasion, Stomach rupture
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