Silangruz Krixie, Shah Parthav, Fujii-Lau Larissa, Furuta Sho
Internal Medicine, University of Hawaii, Honolulu, USA.
Gastroenterology and Hepatology, The Queen's Medical Center, Honolulu, USA.
Cureus. 2022 Feb 15;14(2):e22242. doi: 10.7759/cureus.22242. eCollection 2022 Feb.
Mechanical gastric outlet obstruction (GOO) due to malignancy can occur with cancers in the stomach and duodenum. GOO can cause perforation of the stomach or the esophagus. We present a 65-year-old female with newly diagnosed metastatic pancreatic cancer who presented with acute onset abdominal pain. She was taken for emergent exploratory laparotomy where she was found to have gastric perforation and duodenal obstruction from an invasive large pancreatic head mass. This is a rare case report of gastric perforation due to a malignant gastric outlet obstruction secondary to invasive pancreatic cancer.
恶性肿瘤导致的机械性胃出口梗阻（GOO）可发生于胃癌和十二指肠癌。GOO可导致胃或食管穿孔。我们报告一例65岁新诊断为转移性胰腺癌的女性患者，该患者突发腹痛。她接受了急诊剖腹探查术，术中发现因侵袭性胰头肿块导致胃穿孔和十二指肠梗阻。这是一例因侵袭性胰腺癌继发恶性胃出口梗阻导致胃穿孔的罕见病例报告。
