Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 14, 2015; 21(34): 10049-10053
Published online Sep 14, 2015. doi: 10.3748/wjg.v21.i34.10049
Trousseau’s syndrome in a patient with advanced stage gastric cancer
Tai-Long Chien, Kung-Ming Rau, Wen-Jung Chung, Wei-Chen Tai, Shih-Ho Wang, Yi-Chun Chiu, Keng-Liang Wu, Yeh-Pin Chou, Chia-Che Wu, Yen-Hao Chen, Seng-Kee Chuah, Gastric Cancer Team
Tai-Long Chien, Division of Gastroenterology, Department of Internal Medicine, Pin-Tung An-Tai Hospital, Pintung County 92842, Taiwan
Kung-Ming Rau, Chia-Che Wu, Yen-Hao Chen, Division of Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
Wen-Jung Chung, Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
Wei-Chen Tai, Yi-Chun Chiu, Keng-Liang Wu, Yeh-Pin Chou, Seng-Kee Chuah, Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
Shih-Ho Wang, Division of General Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
Author contributions: Chien TL wrote the paper; Chung WJ, Tai WC, Chiu YC, Wu KL, Chou YP, Wu CC, Chen YH and Chuah SK designed the concept, drafted the article and revised it; Rau KM and Wang SH designed the concept and finally approved the paper.
Institutional review board statement: This study was approved by both the Institutional Review Board and Ethics Committee of Chang Gung Memorial Hospital, Taiwan (IRB104-0636B).
Informed consent statement: The Ethics Committee waived the requirement for informed consent, and each patient’s medical records was anonymized and de-identified prior to access.
Conflict-of-interest statement: The authors have no conflict of interest related to the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Shih-Ho Wang, Division of General Surgery and Oncology, Kaohsiung Chang Gung Memorial Hospital, 123, Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung 833, Taiwan. ndmcm81@yahoo.com.tw
Telephone: +886-7-7317123 Fax: +886-7-7322402
Received: March 3, 2015
Peer-review started: March 5, 2015
First decision: April 24, 2015
Revised: May 9, 2015
Accepted: July 3, 2015
Article in press: July 3, 2015
Published online: September 14, 2015
Processing time: 194 Days and 23.2 Hours
Core Tip

Core tip: Patients with cancer are at high risk for thrombotic events, which are collectively known as Trousseau’s syndrome. This case report reviews arterial thrombotic events that occurred in a patient with gastric cancer. An unexplained thrombotic event might be one of the initial presentations of occult malignancy, and thus, thromboprophylaxis should always be considered.