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Unexpected outcome from Trousseau syndrome

By Anuruddha Abeyratne HMP, Thrumurthy Sri G, De Zoysa Merrenna IM and Samarasekera Dharmabandhu N

Abstract

<p>Abstract</p> <p>Background</p> <p>Unprovoked superficial thrombophlebitis and subsequent venous thromboembolism are well-described albeit rare presenting features of advanced visceral malignancy that often manifest too late for curative intervention to be beneficial.</p> <p>Case Presentation</p> <p>We present the first reported case of early gastric carcinoma presenting with these paraneoplastic phenomena in an otherwise healthy farmer. The early presentation allowed for a curative partial gastrectomy, which itself was complicated by the presence of a deep vein thrombosis extending into the inferior vena cava. Fortunately, stabilization of the clot allowed for surgery to proceed without the need for a caval filter. The patient was referred for adjuvant chemotherapy and has since made an excellent recovery.</p> <p>Conclusions</p> <p>This case provides new evidence for the presentation of superficial thrombophlebitis in early gastric carcinoma and the potential for curative surgery in such instances. A high index of suspicion and a prompt diagnostic workup are essential for timely planning and execution of surgery in these early albeit rare presentations.</p

Topics: Surgery, RD1-811, Medicine, R, DOAJ:Surgery, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: BioMed Central
Year: 2011
DOI identifier: 10.1186/1471-2482-11-1
OAI identifier: oai:doaj.org/article:284b465bd9d54bc0b0289d61c4fd2418
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