Abstract
Perforated viscus is a fatal condition associated with a high mortality rate that necessitating immediate management. In gastric cancer, perforation is a relatively late rare presentation. In this study, we report a case of a 40-year-old male who presented with perforated gastric cancer. In the emergency department (ED), the provisional diagnosis was septic peritonitis and shock. However, upon exploratory laparotomy, pyloric tumor was detected metastasizing to the duodenum, liver, and porta hepatis.
Highlights
Gastric carcinoma is one of the prevalent malignancies worldwide, having an increased incidence among the older population [1]
We report a case of a 40-year-old male who presented with perforated gastric cancer
A systematic review was conducted to ascertain the risk factors for gastric cancer; the review discovered a total of 52 variables which were categorized into nine groups, demographics which included older age and male gender, low socioeconomic status, unhealthy diet and lifestyle, positive family history of gastric cancer, infections such as Helicobacter pylori, positive personal history of gastric surgery, esophageal cancer, or stomach polyp, occupational exposure to cement, mineral dust, chrome, and exposure to ionizing radiation [2]
Summary
Gastric carcinoma is one of the prevalent malignancies worldwide, having an increased incidence among the older population [1]. Gastric cancer patients typically experiencing persistent abdominal pain and weight loss [3]. We report a case of undiagnosed gastric cancer that presented as gastric perforation and signs of septic shock. In the ED, the patient had a complaint of decreased oral intake and abdominal pain, even though there were no earlier visits that had indicated malignancy. The patient was found to have gastric perforation and unresectable pyloric tumor metastasizing to the liver, duodenum, and porta hepatis. The patient had been experiencing loss of appetite, decreased oral intake, diffuse upper abdomen pain, and generalized body weakness for two weeks duration. How to cite this article Moala AlHazmi R, Nasrallah Alfaraj D, Nasser AlNaimi S, et al (October 11, 2021) A Rare Presentation of Gastric Carcinoma With Gastric Perforation and Septic Shock. While in SICU, the patient acquired several co-morbidities status and died from severe pneumonia and renal failure
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