title: Gastric perforation secondary to metastasis from breast cancer.
abstract: Gastric perforation secondary to metastasis from breast cancer occurs infrequently. We present the case of a 72-year-old postmenopausal female patient with a known history of lobular carcinoma of the breast who presented to a district general hospital with a clinical diagnosis of an acute abdomen. Further contrast-enhanced CT scan demonstrated free gas and fluid in the abdomen. She underwent emergency exploratory laparotomy and onlay Graham's omentopexy patch due to 1×1 cm prepyloric gastric perforation. Final histopathology proved the presence of metastatic malignant cells in the breast origin. We discuss the issues involved in postoperative investigation and management.
authors.affiliation: Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Chee Siong
authors.identifier: http://orcid.org/0000-0003-4818-5609
authors.initials: CS
authors.lastname: Wong
authors.affiliation: Department of General Surgery, Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Gumber
authors.affiliation: Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
authors.forename: Pasupathy
authors.initials: P
authors.lastname: Kiruparan
authors.affiliation: Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
authors.forename: Alexander
authors.initials: A
authors.lastname: Blackmore
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D000072663:Spontaneous Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D013270:Stomach / Q000000981:diagnostic imaging; D013274:Stomach Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary*; D014057:Tomography, X-Ray Computed