胃癌伴胃穿孔及感染性休克的罕见表现
A Rare Presentation of Gastric Carcinoma With Gastric Perforation and Septic Shock.
作者信息
Moala AlHazmi Reem, Nasrallah Alfaraj Dunya, Nasser AlNaimi Shaykhah, Mohammed AlQahtani Sarah, Hamed AlJuwayed Mashael, Mohammed Zakriea Hazem, Foula Mohammed S
机构信息
College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahd University Hospital, Dammam, SAU.
Emergency Medicine, Imam Abdulrahman Bin Faisal University, King Fahd University Hospital, Dammam, SAU.
出版信息
Cureus. 2021 Oct 11;13(10):e18657. doi: 10.7759/cureus.18657. eCollection 2021 Oct.
Perforated viscus is a fatal condition associated with a high mortality rate that necessitating immediate management. In gastric cancer, perforation is a relatively late rare presentation. In this study, we report a case of a 40-year-old male who presented with perforated gastric cancer. In the emergency department (ED), the provisional diagnosis was septic peritonitis and shock. However, upon exploratory laparotomy, pyloric tumor was detected metastasizing to the duodenum, liver, and porta hepatis.
脏器穿孔是一种死亡率很高的致命病症，需要立即进行处理。在胃癌中，穿孔是一种相对较晚出现的罕见表现。在本研究中，我们报告了一例40岁男性的穿孔性胃癌病例。在急诊科，初步诊断为感染性腹膜炎和休克。然而，在剖腹探查时，发现幽门肿瘤已转移至十二指肠、肝脏和肝门。
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