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Extrapelvic and Extraperitoneal Spread of Recurrent Stomach Cancer: Two Case Reports

Shin, Hee Jung; Cho, On Koo; Rhim, Hyunchul; Koh, Byung Hee; Kim, Yongsoo; Seo, Heung Suk

Journal of Computer Assisted Tomography: March/April 2003 - Volume 27 - Issue 2 - pp 158-161
ABDOMINAL IMAGING: Case Report

We report two cases of unusual combined extrapelvic and extraperitoneal extension of recurrent gastric adenocarcinoma and describe the imaging findings of the preferential anatomic pathway of disease spread. Extrapelvic and extraperitoneal extension of recurrent gastric adenocarcinoma is rare, and its symptoms may be vague and nonspecific. If patients with a surgical history of gastrointestinal neoplasm present with diffuse abdominal pain or painful swelling of the lower extremities, disease spread to the extrapelvic and extraperitoneal spaces should be suspected.

From the Department of Diagnostic Radiology, College of Medicine, Hanyang University, Seoul, Korea.

Address correspondence and reprint requests to Dr. On-Koo Cho, Department of Diagnostic Radiology, College of Medicine, Hanyang University, 17 Haengdang-Dong, Seongdong-Gu, Seoul, 133–792, Korea. E-mail: okcho@hanyang.ac.kr

© 2003 Lippincott Williams & Wilkins, Inc.