A Case of Spontaneously Ruptured Anaplastic Carcinoma (Giant Cell Type) of the Pancreas with Intraabdominal Hemorrhage

• Matsumura Yoshiyuki

  Department of Surgery, Oji General Hospital

• Iwai Kazuhiro

  Department of Surgery, Oji General Hospital

• Kawasaki Ryosuke

  Department of Surgery, Oji General Hospital

• Matsui Aya

  Department of Surgery, Oji General Hospital

• Mega Seiji

  Department of Surgery, Oji General Hospital

• Ichinokawa Masaomi

  Department of Surgery, Oji General Hospital

• Takahashi Toru

  Department of Surgery, Oji General Hospital

• Miyamoto Masaki

  Department of Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine

• Hirano Satoshi

  Department of Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine

• Kondo Satoshi

  Department of Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine

Bibliographic Information

Other Title

• 自然破裂による腹腔内出血を呈した退形成性膵管癌（巨細胞型）の１例

Abstract

We report a case of spontaneously ruptured anaplastic carcinoma of the pancreas. A 59-year-old man seen for abdominal pain was found in abdominal ultrasonography and computed tomography (CT) to have a tumor of the pancreatic body and multiple metastatic liver tumors. He was admitted due to exacerbated symptoms. Abdominal CT showed a rapidly expanding tumor and marked ascites. Exploratory needle aspiration showed hemorrhagic ascites, necessitating emergency surgery under a diagnosis of intraabdominal hemorrhage. During surgery, we found bleeding from a ruptured tumor and conducted distal pancreatectomy. The pathological diagnosis was anaplastic carcinoma of the pancreas. Despite postoperative chemotherapy, the man died of cancerous cachexia on postoperative day 18. Anaplastic carcinoma thus may cause spontaneous rupture during rapid tumor enlargement.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 40 (4), 456-461, 2007

  The Japanese Society of Gastroenterological Surgery

Keywords

• anaplastic carcinoma
• intraabdominal hemorrhage

Details

• CRID: 1390001204919083520
• NII Article ID: 130004344650
• NII Article ID: 110006242596
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.40.456
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/40/4/40_4_456/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007236291
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed