Slovenská chirurgia 1-2/2020

An advanced young woman´s gastric cancer and pneumatosis cystoides intestinalis

Gastric cancer affects young women rarely. If it does occur, it may be associated with metastatic ovarian cancer, more often both ovaries. Then we talk about so called Krukenberg´s tumor. Usually ovarian cancer is diagnosed first, and only then during the diagnosis we find out that it is a metastatic process of gastric cancer. Pneumatosis cystoides intestinalis is a rare pathological entity and can have several causes. Its clinical manifestations are various and the diagnosis is based on imaging and, in the case of the colon, also endoscopic diagnostic methods – colonoscopy. The authors present and extremely interesting case report of a young woman in whom a suspicion of this disease was expressed on the basis of repeated colonoscopies, as well as histological examination of the material collected in the first of them. After all, the definitive diagnosis was completely different – it was an advanced carcinoma of the stomach with inflitration of the pancreas and flexura lienalis coli.

Keywords: pneumatosis cystoides intestinalis, an advanced gastric cancer, diagnosis and treatment