Year 2019, Volume 5, Issue 1, Pages 196 - 201 2019-01-04

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

Semra Doğan [1] , Sezai Demirbaş [2] , Elgun Samadov [3] , Salih Erpulat Öziş [4] , Hatim Yahya Uslu [5]

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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 9th 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. 


Schnitzler’s disease, gastric cancer, rectum metastasis
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Orcid: 0000-0003-1242-6239
Author: Semra Doğan (Primary Author)
Institution: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-5770-192X
Author: Sezai Demirbaş
Institution: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey

Orcid: 0000-0003-0540-5667
Author: Elgun Samadov
Institution: Department of General Surgery, Tibb Universiteti Nariman Narimanov Baku, Baku, Azerbaijan
Country: Azerbaijan


Orcid: 0000-0002-1317-4881
Author: Salih Erpulat Öziş
Institution: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-8347-4740
Author: Hatim Yahya Uslu
Institution: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey
Country: Turkey


EndNote %0 The European Research Journal Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature %A Semra Doğan , Sezai Demirbaş , Elgun Samadov , Salih Erpulat Öziş , Hatim Yahya Uslu %T Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 1 %R doi: 10.18621/eurj.378526 %U 10.18621/eurj.378526