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Aramaki, Masanori; Satoh, Hiroshi; Nagasawa, Yuiko; Shitomi, Yuki; Watanabe, Kiminori
Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine), 2023/01/31, Letnik: 43, Številka: 1Journal Article
A 77-year-old woman visited our hospital with a history of upper abdominal pain. She had undergone extended cholecystectomy for gallbladder cancer 36 months earlier, and 28 months after the operation, a gastric metastasis was found and she was initiated on treatment with S-1. Abdominal computed tomography revealed a perforation in the gastric antrum and continuous escape of free air from the same area. We made the diagnosis of perforating peritonitis and performed emergency laparotomy. Because there was a large perforation in the anterior wall of the gastric antrum, we performed distal gastrectomy and B-Ⅱ reconstruction. The postoperative course was uneventful and the patient was discharged on the 17th day. We report a case of gastric metastasis from gallbladder cancer complicated by perforating peritonitis.
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in: SICRIS
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