GASTROJEJUNOSTOMAL CARCINOMA WITH MESENTERIC CHYMAL CONGESTION AND CHYMAL ASCITES-REPORT OF A CASE WITH REVIEW OF THE JAPANESE LITERATURE-
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A 63-year-old woman who had received gastrojejunostomy for pyloric stenosis 44 years earlier was preoperatively diagnosed by radiology and endoscopy as having stomal early carcinoma. At laparotomy, chymal ascites, peritonitis carcinomatosa, and extensive visceral involvement by the tumor were observed as well as mesenteric chymal congestion caused by metastasis to the mesenteric lymph nodes. The patient died of peritonitis carcinomatosa on the 51st postoperative day. A review of the literature revealed that gastrojejunostomal carcinoma causes difficulty in the preoperative assessment of the tumor involvement, the possibility of mesenteric nodal metastasis as well as perigastric metastasis due to alterations of the lymphatic stream by surgery, and poor curability irrespective of the surgical treatment.
- 日本臨床外科学会の論文
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