Giri Laya B, Sunil Julia, Stephen Norton, Shaikh Oseen, Balasubramanian Gopal
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2023 Jul 25;15(7):e42465. doi: 10.7759/cureus.42465. eCollection 2023 Jul.
Schnitzler's metastasis occurs due to the deposition of the tumor cells in the submucosa of the rectum, leading to rectal stenosis. We present a 60-year-old female who presented with abdominal pain, distension, and vomiting. Abdominal examination showed a distended abdomen and palpable bowel loops, and per rectal examination showed rectal stenosis. Imaging studies suggest rectal stenosis with carcinoma of the pancreas head. The patient was diagnosed with Schnitzler's metastasis with carcinoma of the pancreas head, which has not been reported in the literature. The patient underwent a diversion sigmoid colostomy and was planned for palliative chemotherapy after stenting the common bile duct.
施尼茨勒转移瘤是由于肿瘤细胞沉积在直肠黏膜下层，导致直肠狭窄。我们报告一例60岁女性，她表现为腹痛、腹胀和呕吐。腹部检查显示腹部膨隆，可触及肠袢，直肠指检显示直肠狭窄。影像学检查提示直肠狭窄伴胰头癌。该患者被诊断为胰头癌伴施尼茨勒转移瘤，这在文献中尚未见报道。患者接受了乙状结肠造口术，并计划在胆管支架置入术后进行姑息化疗。
