CASE REPORTS   

Chirurgia 2008 April;21(2):115-7

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Acute abdomen due to perforation of cecal metastasis from ductal breast carcinoma. Case report and review of the literature

Efremidou E. I. ¹, Papageorgiou M. S. ¹, Kouklakis G. ², Karanikas M. ¹, Liratzopoulos N. ¹, Manolas K. J. ^{1, 2}

¹ First Department of Surgery University General Hospital of Alexandroupolis Medical School of Democritus University of Thrace, Greece 2 Endoscopy Unit University General Hospital of Alexandroupolis Medical School of Democritus University of Thrace, Greece

We report an unusual case of a perforated, previously unknown cecal metastasis from a primary site of ductal breast carcinoma after 9 years, presenting as acute abdomen. The patient was not receiving at that time any chemotherapy agents, so the issue of tumor melting must be excluded. The patient was subjected to emergency laparotomy, where right hemicolectomy was performed. It is essential for the clinician, and especially the surgeon, to include complications of metastatic GI disease in the differential diagnosis of acute abdomen in patients previously diagnosed with breast cancer. In this report, the issue of GI metastatic disease from breast cancer is discussed and several treatment modalities are examined.