Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature

Year 2019, Volume: 5 Issue: 1, 196 - 201, 04.01.2019

Semra Doğan , Sezai Demirbaş Elgun Samadov Salih Erpulat Öziş Hatim Yahya Uslu

https://doi.org/10.18621/eurj.378526

Cited By: 2

Abstract

Rectal metastasis resulting from the hematogenous spread of
gastric cancer (Schnitzler’s disease) is rarely seen. We report a case of 53-year-old female with rectal metastasis from gastic cancer who presented with
abdominal pain, tenesmus, and severe constipation. Digital rectal examination
revealed a severe stenosis 5-6 cm from the dentate line. Sigmoidoscopy showed a
narrowed lumen at 5 cm up from the dentate line. The evident radiologic finding
was circumferential stenosis of the rectum located at the same level. Very low
anterior resection and total mesorectal excision with coloanal anastomosis in
addition to protective ileostomy were performed. Pathological examination
revealed metastatic adenocarcinoma (Schnitzler’s metastasis). The patient was
discharged on the 9^th postoperative day with no adverse events. It
should be kept in mind that rectal stenosis could be metastasis from gastric
carcinoma if consistent with the patient’s history. 

Keywords

Schnitzler’s disease, gastric cancer, rectum metastasis

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