内容紹介
A Case of Trousseau Syndrome Associated with Advanced Rectal Cancer
Summary
We report a case of Trousseau syndrome associated with advanced rectal cancer. A 67-year-old man visited our hospital for right hemiparesis and gait disturbance. Head magnetic resonance imaging showed multiple cerebral infarctions. Abdominal computed tomography showed wall thickening of the rectum and colonoscopy showed type 2 circumferential rectal cancer. Therefore, he was diagnosed with Trousseau syndrome. After anticoagulation therapy with heparin, an operation was performed. Thereafter, chemotherapy was continued and he has experienced no recurrence of cerebral infarction.
要旨
症例は67歳,男性。右上肢片麻痺と歩行障害を主訴に当院を受診し,頭部MRI検査で多発性脳梗塞を認めたため,脳神経外科に入院加療となった。腹部CT検査で直腸壁の肥厚を認め,下部消化管内視鏡検査で直腸S状結腸移行部に全周性の2型腫瘍を認めた。このためTrousseau症候群と診断し,抗凝固療法の後に開腹高位前方切除術,D3郭清を施行した。脈管侵襲陽性のため術後化学療法を施行しているが,再梗塞を認めていない。多発性脳梗塞を認めた際には本疾患の可能性も念頭に置き,悪性疾患の有無を検索すべきと考えられる。
目次
Summary
We report a case of Trousseau syndrome associated with advanced rectal cancer. A 67-year-old man visited our hospital for right hemiparesis and gait disturbance. Head magnetic resonance imaging showed multiple cerebral infarctions. Abdominal computed tomography showed wall thickening of the rectum and colonoscopy showed type 2 circumferential rectal cancer. Therefore, he was diagnosed with Trousseau syndrome. After anticoagulation therapy with heparin, an operation was performed. Thereafter, chemotherapy was continued and he has experienced no recurrence of cerebral infarction.
要旨
症例は67歳,男性。右上肢片麻痺と歩行障害を主訴に当院を受診し,頭部MRI検査で多発性脳梗塞を認めたため,脳神経外科に入院加療となった。腹部CT検査で直腸壁の肥厚を認め,下部消化管内視鏡検査で直腸S状結腸移行部に全周性の2型腫瘍を認めた。このためTrousseau症候群と診断し,抗凝固療法の後に開腹高位前方切除術,D3郭清を施行した。脈管侵襲陽性のため術後化学療法を施行しているが,再梗塞を認めていない。多発性脳梗塞を認めた際には本疾患の可能性も念頭に置き,悪性疾患の有無を検索すべきと考えられる。