Widespread hematogenous metastases and Trousseau's syndrome in gastric adenocarcinoma

摘要: A case of widespread hematogenous metastases and Trousseau's syndrome is reported in a 40 year-old white housewife with gastric cancer, presenting subdural hematoma, ecchymoses, epistaxis, stomach uterine bleeding. After undergoing hematoma drainage, she was unsuccessfully treated platelets, red blood cells, plasma cryoprecipitate transfusions, antibiotics. Necropsy disclosed ring-signet adenocarcinoma invading the serous layer, massive disseminated intravascular coagulation systemic neoplastic embolism. Multiple old recent hyaline (rich fibrin platelets) microthrombi, tumor emboli were observed bone marrow, meninges, liver, lungs, kidneys, lymph nodes, adrenals, thyroid, heart, pancreas, ovaries (Krukenberg tumor).