Wong Chee Siong, Gumber Ashutosh, Kiruparan Pasupathy, Blackmore Alexander
Blackpool Victoria Hospital, Blackpool, UK.
Department of General Surgery, Blackpool Victoria Hospital, Blackpool, UK.
BMJ Case Rep. 2016 Jul 18;2016:bcr2016214865. doi: 10.1136/bcr-2016-214865.
Gastric perforation secondary to metastasis from breast cancer occurs infrequently. We present the case of a 72-year-old postmenopausal female patient with a known history of lobular carcinoma of the breast who presented to a district general hospital with a clinical diagnosis of an acute abdomen. Further contrast-enhanced CT scan demonstrated free gas and fluid in the abdomen. She underwent emergency exploratory laparotomy and onlay Graham's omentopexy patch due to 1×1 cm prepyloric gastric perforation. Final histopathology proved the presence of metastatic malignant cells in the breast origin. We discuss the issues involved in postoperative investigation and management.
乳腺癌转移继发胃穿孔很少见。我们报告一例72岁绝经后女性患者，她有已知的乳腺小叶癌病史，因急性腹痛临床表现入住一家地区综合医院。进一步的增强CT扫描显示腹部有游离气体和液体。由于幽门前1×1 cm胃穿孔，她接受了急诊剖腹探查术和网膜覆盖格雷厄姆修补术。最终组织病理学证实存在源自乳腺的转移性恶性细胞。我们讨论了术后检查和管理中涉及的问题。
