Silva-Ramos Cielo S, Barron-Cervantes Natalia M, Martinez-Esteban Alejandro, Alfaro-Goldaracena Alejandro, Visag-Castillo Victor J
General and Gastrointestinal Surgery Service, Fundación Clínica Medica Sur, Mexico City, MEX.
General and Oncological Surgery, Fundación Clínica Medica Sur, Mexico City, MEX.
Cureus. 2024 Apr 17;16(4):e58459. doi: 10.7759/cureus.58459. eCollection 2024 Apr.
Hollow viscus perforation poses a significant diagnostic and therapeutic dilemma for the majority of clinicians. It is vitally important that in cases of gastrointestinal perforation, the tissue that was perforated is always evaluated, since a malignant tumor can cause this complication as a presentation form. Here, we present the case of a patient whose first manifestation of a malignant gastric tumor was its perforation and the presence of septic shock secondary to this. This case exemplifies the importance of innovative thinking in facilitating a comprehensive diagnostic and therapeutic strategy, leading to the timely identification and management of a malignant tumor by the oncology team; such interventions not only enhance patient outcomes but also mitigate morbidity and mortality rates.
对于大多数临床医生而言,中空脏器穿孔带来了重大的诊断和治疗难题。在胃肠道穿孔的病例中,对穿孔的组织进行评估至关重要,因为恶性肿瘤可能以这种并发症作为一种表现形式。在此,我们报告一例患者,其恶性胃肿瘤的首发表现为穿孔并继发感染性休克。该病例体现了创新思维在制定全面诊断和治疗策略中的重要性,促使肿瘤学团队及时识别并处理恶性肿瘤;此类干预措施不仅能改善患者预后,还能降低发病率和死亡率。