2013, Number 3
Cir Cir 2013; 81 (3)
Sierra-Montenegro E, Sierra-Luzuriaga G, Calle-Loffredo D, Rodríguez-Quinde M
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ABSTRACTBackground: The Trousseau syndrome, first described in 1865, is the relationship of venous thromboembolism and cancer. The objective is to inform a case with rectal cancer and this Trousseau syndrome.
Clinical case: Female 40 years old, went to the Coloproctology service for painless bleeding, we solicited requested diagnostic tests, report of computed tomography was tumor of 5 per 6 cm up to 5 cm from the anal margin, ultra-low anterior resection with colonic reservoir and loop ileostomy surgery was performed, report of pathology semidiferenciate adenocarcinoma of rectum and we established as T3N0M0. Within 72 hours of hers postoperative sudden hypotension, painful abdominal distention, we made a surgery again finding necrosis of the colon from the splenic angle till the colonic reservoir with thrombi in the left colic artery, ischemic signs of bilateral fallopian tubes, ovaries, uterus, pelvic floor and the small intestine, 40 cm before ileostomy and ileon. Left hemicolectomy and colostomy was made. She was taken to intensive care in where they continue administration of heparin; it dies within 5 days after because of multiorganic failure.
Conclusions: The mechanism for this syndrome was unknown but there are several hypotheses, suggested that hematological cancers are what they are at increased risk of deep vein thrombosis. Pancreatic cancer is the most common presentation with this syndrome in 50% of cases. We suggested continuing with the standards of prevention of thromboembolism.