title: [Occult gastric adenocarcinoma with pulmonary carcinomatous lymphangitis and microangiopathic hemolytic anemia in a young adult].
abstract: The case is reported of a 19-year-old patient with gastric carcinoma, in which clinical presentation (intermittent fever, myalgia, proximal muscle weakness and diffuse nodular-trabeculated infiltration of both lungs) was very unusual. The patient developed further complications (microangiopathic hemolytic anemia with disseminated intravascular coagulation) and died of subdural hematoma. Bone-marrow biopsy showed metastatic mucin-producing adenocarcinoma, but the gastric primary site of the tumor could only be demonstrated at autopsy.
authors.forename: A
authors.initials: A
authors.lastname: Bisetti
authors.forename: M
authors.initials: M
authors.lastname: Lalicata
authors.forename: E
authors.initials: E
authors.lastname: Jacot-des-Combes
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000150:complications* / Q000556:secondary; D000328:Adult; D000743:Anemia, Hemolytic / Q000150:complications; D001859:Bone Neoplasms / Q000556:secondary; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008205:Lymphangitis / Q000150:complications*; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications*
vernacular_title: Adénocarcinome gastrique occulte avec lymphangite carcinomateuse pulmonaire et anémie hémolytique microangiopathique chez un jeune adulte.