Abstract
A 63-year-old female was taken to a neighboring hospital by ambulance due to severe abdominal pain. As her abdominal computed tomography revealed free air and ascites, she was soon transferred to our hospital with the diagnosis of diffuse peritonitis. Emergency laparotomy showed obstruction of the upper jejunum due to invasion of the pancreatic body cancer and rupture of the posterior wall of the stomach. There were multiple small nodules on the peritoneum, suggesting carcinomatous peritonitis due to advanced pancreatic cancer. As one of the possible causes of gastric rupture, increased intragastric pressure due to invasion of the pancreatic cancer to the upper jejunum was suspected. The exact cause, however, was not determined. This type of gastric rupture is very rare, and we report herein on the case with some discussion.
