Abstract
Aim: We report a rare case of gastric linitis plastica revealed by vertebral metastases without another digestive dissemination. Case presentation: The Benin native woman was hospitalized in rheumatology for inflammatory back pain without another signs. Rx ray showed vertebra metastasis. In the etiologic research, gastroscopy showed an infiltrating lesion of the antral area, indicating gastric linitis which was confirmed by biopsy. Short and medium-term evolution was favourable, characterized by a complete disappearance of the pains and a good physical condition. Conclusion: Vertebral metastases can reveal digestive cancer, although human gut is not among the most bone metastatic cancers.
Highlights
IntroductionIts etiologic diagnosis raises a grave, difficult and frequent problem in rheumatologic practice
Bone metastases are a frequent cause of hospital admissions in rheumatology
Gastroscopy showed an infiltrating lesion of the antral area, indicating gastric linitis which was confirmed by biopsy
Summary
Its etiologic diagnosis raises a grave, difficult and frequent problem in rheumatologic practice. It is based on radiological appearance of the metastases, anamnesis, clinical examination, common biological investigation, imaging test, serum markers analysis and pathological anatomy [1]. It is inaugural in most cases of the metastatic cancers (up to 75% in the set of Vandecandelaere et al.) [2], making the primary site identification more difficult. We report a case of gastric linitis revealed by bone metastases in a 36-year-old woman
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