A Female Presenting with Trousseau Syndrome in End-stage Pancreatic Cancer: A Case Report

Volume 2 • Issue 1 • 2013 Introduction A case of thrombosis associated with a malignant tumor was first reported by Trousseau in 1865 [1], which supposedly resulted from chronic disseminated intravenous coagulation. Later, malignant tumors were found to occasionally accompany arterial or venous thrombosis, pulmonary embolisms, or non-infectious endocarditis [2,3]. Trousseau syndrome is associated with poor prognosis due to coagulation abnormalities of malignant tumors [4]. Although 90% progressive malignant tumors with metastases have coagulation abnormalities [5], 50% result in thrombosis or embolism. In our case, although a stomach tumor revealed via upper gastroendoscopy was originally believed to be a recurrence of gastric cancer, immunostaining showed that such growth was due to invasive pancreatic cancer. However, there are few reports mentioning endoscopic findings of stomach tumors resulting from invasive pancreatic cancer because pancreatic cancer rarely invades the stomach. Thus, our case is very unique. Herein, we report a case of Trousseau syndrome in a female patient with end-stage pancreatic cancer.