Ayyamperumal Jeya Anand, Chandrabose Ambedkar Maravadi Jayaraman, Lakshmanan Anand, Satyanesan Jeswanth
Institute of Surgical Gastroenterology and Liver transplantation, Government Stanley Medical College, Chennai, India.
Korean J Clin Oncol. 2024 Dec;20(2):88-92. doi: 10.14216/kjco.24013. Epub 2024 Dec 31.
Metastasis to the rectum is very rare and is usually caused by primaries from the breast, gastrointestinal tract, and genitourinary system. We report here a case of acute intestinal obstruction caused by an unusual rectal stenosis, for which he underwent a diversion stoma. On extensive evaluation for the etiology of the rectal stenosis, he was diagnosed with diffuse gastric cancer with Schnitzler's metastasis to the rectal submucosa. This is an unusual type of metastasis, very rarely seen. Only 11 such cases have been reported in the literature.
直肠转移非常罕见,通常由乳腺、胃肠道和泌尿生殖系统的原发肿瘤引起。我们在此报告一例由罕见的直肠狭窄导致急性肠梗阻的病例,患者接受了造口分流术。在对直肠狭窄的病因进行全面评估时,他被诊断为弥漫性胃癌并伴有施尼茨勒转移至直肠黏膜下层。这是一种罕见的转移类型,文献中仅报道过11例此类病例。