Unexpected outcome from Trousseau syndrome.
Sri G Thrumurthy1, Abeyratne H M P Anuruddha, Merrenna I M De Zoysa
1University Surgical Unit, National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
BMC Surgery
|January 8, 2011
Summary
Superficial thrombophlebitis can signal early gastric cancer, enabling curative surgery. Prompt diagnosis and intervention are crucial for successful treatment of this rare paraneoplastic presentation.
Area of Science:
- Oncology
- Gastroenterology
- Hematology
Background:
- Superficial thrombophlebitis and venous thromboembolism are rare presenting signs of advanced visceral malignancy.
- These paraneoplastic phenomena often indicate disease progression, limiting curative intervention options.
Observation:
- A case of early gastric carcinoma presenting with superficial thrombophlebitis is reported.
- The patient, a farmer, had no prior health issues.
- The early presentation facilitated curative surgical intervention.
Findings:
- The patient underwent a curative partial gastrectomy.
- A complication of deep vein thrombosis extending into the inferior vena cava occurred but did not preclude surgery.
- Adjuvant chemotherapy was administered post-surgery.
Implications:
- This case highlights superficial thrombophlebitis as a potential early sign of gastric carcinoma.
- It underscores the possibility of curative surgery even with associated venous thromboembolic events.
- A high index of suspicion and rapid diagnostic workup are vital for managing these rare presentations.
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