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Updated: Jan 11, 2026
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Published on: December 27, 2024
Gastric Perforation due to Cervical Cancer Metastasis
Mirko Maglica1,2, Vedran Dragišić3, Ilija Perutina2,4
1Department of Otorhinolaringology, Cantonal Hospital Livno, Livno, Bosnia and Herzegovina.
Background:
Squamous cell carcinoma (SqCC) is the most prevalent subtype of carcinoma of the uterine cervix. It is well-known for its local infiltration and a high frequency of lymphonodal invasion, but distant hematogenous metastases are uncommon.
Case Report:
This case report highlights the rare occurrence of gastric perforation resulting from metastatic uterine cervical SqCC. A 56-year-old woman, initially treated for cervical cancer, presented with severe abdominal pain and vomiting. Emergency laparotomy revealed a prepyloric stomach perforation. Subsequent subtotal gastrectomy confirmed high-grade malignancy with atypical cells infiltrating the stomach. The literature on gastric metastasis from cervical cancer is limited, making this case noteworthy. Surgical intervention and postoperative therapy were recommended, although the patient's deteriorating health delayed the planned treatment.
Conclusion:
While only three similar cases have been reported, emphasizing the need for early radical treatment and postoperative care, this case underlines the complexity and lack of standardized protocols in managing such rare metastatic scenarios.
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