A multidisciplinary approach to an unusual medical case of locally advanced gastric cancer: a case report

Autor: Carmen Criscitiello, Annalena Di Martino, Nicola Carlomagno, Vincenzo Tammaro, Fabrizio Schonauer, Michele Santangelo
Přispěvatelé: Carlomagno, Nicola, Schonauer, Fabrizio, Tammaro, Vincenzo, Di Martino, A, Criscitiello, C, Santangelo, Michele
Rok vydání: 2015
Předmět:
Gastric Fistula
Neoplastic gastrocutaneous fistula
Reconstructive surgery
medicine.medical_specialty
Advanced gastric cancer
Abdominal Wound Closure Techniques
Cutaneous Fistula
medicine.medical_treatment
Rectus Abdominis
Biological prosthesis
Locally advanced
Case Report
Biological prosthesi
Prosthesis
Rectus Abdomini
Abdominal wall
Fatal Outcome
Stomach Neoplasm
Stomach Neoplasms
Surgical oncology
Suture Technique
medicine
Carcinoma
Reconstructive Surgical Procedure
Humans
Neoplasm Invasiveness
Reverse abdominoplasty
Neoplasm Invasivene
Medicine(all)
Aged
80 and over
Multidisciplinary approach
Abdominoplasty
business.industry
Medicine (all)
Abdominal Wall
Suture Techniques
Abdominal Wound Closure Technique
General Medicine
Plastic Surgery Procedures
medicine.disease
Surgery
medicine.anatomical_structure
Female
business
Human
Zdroj: Journal of Medical Case Reports
ISSN: 1752-1947
DOI: 10.1186/1752-1947-9-13
Popis: Introduction Complete abdominal wall infiltration with neoplastic gastrocutaneous fistula is an unexpected and out of the ordinary presentation of locally advanced gastric cancer. It is very rare to encounter case reports presenting diffuse abdominal wall invasion, but a complete parietal destruction is an exceptional event. Case presentation Here we describe the case of an 81-year-old Caucasian woman presenting a carcinoma perforating her anterior gastric wall and infiltrating all layers of her abdominal wall. The gastric tumor infiltrated her transverse mesocolon, the rectus abdominis muscles bilaterally and overran them anteriorly, causing a large parietal deficit and a complete external fistula. Treatment consisted of a complex surgical procedure requiring general and reconstructive surgery cooperation in order to perform an en bloc gastric resection including colon and abdominal wall, followed by a parietal reconstruction through positioning of prosthesis and reverse abdominoplasty. Conclusions Clinical presentation, histology and therapeutic options are discussed. The importance of a multidisciplinary approach when encountering extremely rare clinical presentations is emphasized. Electronic supplementary material The online version of this article (doi:10.1186/1752-1947-9-13) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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