Left Sided Hydropneumothorax As An Initial Manifestation Of Ca Stomach In A Young Male
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 9
Abstract
We present a case report of a 30 year old male patient who had a history of chest pain and breathlessness on exertion for 4 months. He had consulted multiple hospitals for the same his clinical findings and chest x-ray both confirmed left-sided pleural effusion and he was further evaluated for the same and pleural fluid drainage and examination was performed .fluid analysis was exudative in nature with no malignant cells and was lymphocyte-predominant. In view of this empirically patient was also started on anti-tubercular treatment. In spite of all measures, pleural effusion remained persistent and non-resolving. The patient also developed complaints of Malena and difficulty in swallowing during this course of one month. Difficulty in swallowing was progressive and frequency of Malena also increased. On endoscopy an ulceroproliferative mass was found around lesser curvature towards the gastroesophageal junction on further evaluation carcinoma stomach was confirmed on histopathology. Malignant hydropneumothorax as a presenting feature of carcinoma stomach is a very rare initial manifestation and the presentation of ca stomach in a patient aged 30 year is also a very rare finding. Non-resolving pleural effusion should always elicit doubts to evaluate gastrointestinal system to rule out hidden malignancy which sometimes manifests late.
Authors and Affiliations
Dr. Aakansha Sinha
Keywords
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