Elsevier

Annals of Medicine and Surgery

Volume 36, December 2018, Pages 235-238
Annals of Medicine and Surgery

Case report
Isolated antro-pyloric metastatic mass from colonic carcinoma: A rare case presentation

https://doi.org/10.1016/j.amsu.2018.11.004Get rights and content
Under a Creative Commons license
open access

Highlights

  • Extreme rarity of this pathological entity.

  • Diagnostic challenges faced in such a clinical scenario.

  • Forming a very rare and interesting differential diagnosis of gastric outlet obstruction.

  • First case reported to present 6 years after the index colonic primary.

Abstract

Metastatic tumors to stomach are extremely rare with very few cases being described so far in the surgical literature. Colonic tumors metastatic to stomach represent a rarer entity and present a surgical challenge for diagnosis and management to the clinician. We, hereby present a case of adenocarcinoma of transverse colon metastatic to stomach more than 6 years after the index malignancy, presenting clinically with features of gastric outlet obstruction. It was treated with open subtotal gastrectomy, with diagnosis being made on histopathologic examination using special immunochemical stains. Adjuvant treatment in the form of chemotherapy was given and follow up cross sectional imaging showed no evidence of residual disease so far.

Keywords

Metastatic
Gastric
Colonic
Adenocarcinoma

Cited by (0)