title: Gastric perforation secondary to metastasis from ovarian cancer: Case report.
abstract: BACKGROUND
  Metastasis from ovarian cancer occurs frequently through the peritoneal cavity in the form of peritoneal carcinomatosis; isolated gastric metastasis is rarely reported in literature.
  
  
  METHODS
  We present a case of 43-year-old infertile lady, who developed a picture of acute abdomen four days post total abdominal hysterectomy and salpingoopherectomy for ovarian cancer. Further contrast-enhanced CT scan demonstrated massive free gas and fluid in the abdomen. She underwent antrectomy with truncal vagotomy due to 3cm×4cm prepyloric gastric ulcer. Final pathology proved the presence of metastatic serous cystadenocarcinoma of ovarian origin.
  
  
  CONCLUSIONS
  Our patient had a gastric perforation secondary to ovarian metastasis. Being isolated, the absence of ascites and the transmural nature of the gastric metastasis suggest haematogenous spread .To the best of our knowledge perforated gastric metastasis secondary to ovarian cancer was not reported in literature before.
  
  
  CONCLUSIONS
  Gastric metastasis should be kept in mind in patients with a well-known ovarian cancer who present with gastric lesions, ulcers, bleeding or perforation.
authors.affiliation: Department of General Surgery, The University of Jordan, Amman, Jordan.
authors.forename: Firas
authors.initials: F
authors.lastname: Obeidat
authors.forename: Ayman
authors.initials: A
authors.lastname: Mismar
authors.forename: Maha
authors.initials: M
authors.lastname: Shomaf
authors.forename: Mohammad
authors.initials: M
authors.lastname: Yousef
authors.forename: Kamil
authors.initials: K
authors.lastname: Fram