Yıl 2019, Cilt 5, Sayı 1, Sayfalar 196 - 201 2019-01-04

Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature

Semra Doğan [1] , Sezai Demirbaş [2] , Elgun Samadov [3] , Salih Erpulat Öziş [4] , Hatim Yahya Uslu [5]

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Rectal metastasis resulting from the hematogenous spread of gastric cancer (Schnitzler’s disease) is rarely seen. We report a case of 53-year-old female with rectal metastasis from gastic cancer who presented with abdominal pain, tenesmus, and severe constipation. Digital rectal examination revealed a severe stenosis 5-6 cm from the dentate line. Sigmoidoscopy showed a narrowed lumen at 5 cm up from the dentate line. The evident radiologic finding was circumferential stenosis of the rectum located at the same level. Very low anterior resection and total mesorectal excision with coloanal anastomosis in addition to protective ileostomy were performed. Pathological examination revealed metastatic adenocarcinoma (Schnitzler’s metastasis). The patient was discharged on the 9th postoperative day with no adverse events. It should be kept in mind that rectal stenosis could be metastasis from gastric carcinoma if consistent with the patient’s history. 


Schnitzler’s disease, gastric cancer, rectum metastasis
  • [1] Maehara Y, Hasuda S, Koga T, Tokunaga E, Kakeji Y, Sugimachi K. Postoperative outcome and sites of recurrence in patients following curative resection of gastric cancer. Br J Surg 2000;87:353-7.
  • [2] Roviello F, Marrelli D, de Manzoni G, Morgagni P, Di Leo A, Saragoni L, et al. Prospective study of peritoneal recurrence after curative surgery for gastric cancer. Br J Surg 2003;90:1113-9.
  • [3] Niinobu T, Nakagawa S, Itani Y, Nishikawa Y, Amano M, Higaki N, et al. [Rectal stenosis due to Schnitzler metastasis following surgery for gastric cancer -a case successfully treated with TS-1 and CDDP combination chemotherapy]. Gan To Kagaku Ryoho 2005;32:1761-4. [Article in Japanese]
  • [4] Kamangar F, Dores GM, Anderson WF. Patterns of cancer incidence, mortality and prevalence across five continets: defining priorities to reduce cancer disparities in different geographic regions of the world. J Clin Oncol 2006;24:2137-50.
  • [5] Yamamato M, Matsuyama A, Kameyama T, Okamato M, Okazaki J,Utsunomiya T,.et al. [A case of advanced gastric cancer with Schnitzler’s metastases effectively treated by combination of paclitaxel and S-1]. Gan To Kagaku. Ryhoho 2008;35 829-31. [Article in Japanese]
  • [6] Olano C, De Simone F, Gonzalez F, Gonzalez N, Tchekmedyian A, Pose A, et al. Stomach cancer presenting with rectal stenosis: Schnitzler’s metastasis. Gastrointest Endosc 2009;70:809-10.
  • [7] Rausei S, Frattini F, Dionigi G, Boni L, Rovera F, Diurni M. Unusual rectal stenosis. J Surg Oncol 2010;102:713.
  • [8] Lim SW, Huh JW, Kim YJ, Kim HR. Laparoscopic low anterior resection for hematogenous rectal metastasis from gastric adenocarcinoma: a case report. World J Surg Oncol 2011;9:148.
  • [9] Tural D, Selçukbiricik F, Erçalişkan A, Inanç B, Günver F, Büyükünal E. Metachronous rectum metastases from gastric adenocarcinoma: a case report. Case Rep Med 2012;2012:726841.
  • [10] Okugawa T, Oshima T, Ikeo K, Kondo T, Tomita T, Fukui H, et al. Successful self-expandable metallic stent placement for a case of distal rectal stenosis due to gastric cancer metastasis. Case Rep Gastroenterol 2013;7:214-8.
  • [11] Derici Z.S, Sokmen S. Gastric carcinoma presenting with severe rectal stenosis: ‘Schnitzler’s metastasis’: case report and rewiew of the literature. Eur Surg 2016:48:246-9.
  • [12] Uemura N, Kurashige J, Kosumi K, Iwatsuki M, Yamashita K, Iwagami S, et al. Early gastric cancer metastazing to thr rectum, possibly via hematogenous route:a case report and review of the literature. Surg Case Rep 2016:2:58.
  • [13] Matsutani T, Sasajima K, Amano H, Egami K, Kan H, Myashita M, et al. A case of expandable metallic stent placement for the stenosis in the sigmoid colon and rectum due to Schnitzler’s metastasis from gastric cancer. Gastroenterol Endosc 2005;47:343-7.
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Yazarlar

Orcid: 0000-0003-1242-6239
Yazar: Semra Doğan (Sorumlu Yazar)
Kurum: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0002-5770-192X
Yazar: Sezai Demirbaş
Kurum: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey

Orcid: 0000-0003-0540-5667
Yazar: Elgun Samadov
Kurum: Department of General Surgery, Tibb Universiteti Nariman Narimanov Baku, Baku, Azerbaijan
Ülke: Azerbaijan


Orcid: 0000-0002-1317-4881
Yazar: Salih Erpulat Öziş
Kurum: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0002-8347-4740
Yazar: Hatim Yahya Uslu
Kurum: Department of General Surgery, TOBB Economy and Technology University Hospital, Ankara, Turkey
Ülke: Turkey


Bibtex @olgu sunumu { eurj378526, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2019}, volume = {5}, pages = {196 - 201}, doi = {10.18621/eurj.378526}, title = {Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature}, key = {cite}, author = {Demirbaş, Sezai and Doğan, Semra and Öziş, Salih Erpulat and Uslu, Hatim Yahya and Samadov, Elgun} }
APA Doğan, S , Demirbaş, S , Samadov, E , Öziş, S , Uslu, H . (2019). Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature. The European Research Journal, 5 (1), 196-201. DOI: 10.18621/eurj.378526
MLA Doğan, S , Demirbaş, S , Samadov, E , Öziş, S , Uslu, H . "Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature". The European Research Journal 5 (2019): 196-201 <http://dergipark.gov.tr/eurj/issue/40357/378526>
Chicago Doğan, S , Demirbaş, S , Samadov, E , Öziş, S , Uslu, H . "Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature". The European Research Journal 5 (2019): 196-201
RIS TY - JOUR T1 - Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature AU - Semra Doğan , Sezai Demirbaş , Elgun Samadov , Salih Erpulat Öziş , Hatim Yahya Uslu Y1 - 2019 PY - 2019 N1 - doi: 10.18621/eurj.378526 DO - 10.18621/eurj.378526 T2 - The European Research Journal JF - Journal JO - JOR SP - 196 EP - 201 VL - 5 IS - 1 SN - -2149-3189 M3 - doi: 10.18621/eurj.378526 UR - http://dx.doi.org/10.18621/eurj.378526 Y2 - 2018 ER -
EndNote %0 The European Research Journal Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature %A Semra Doğan , Sezai Demirbaş , Elgun Samadov , Salih Erpulat Öziş , Hatim Yahya Uslu %T Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 1 %R doi: 10.18621/eurj.378526 %U 10.18621/eurj.378526
ISNAD Doğan, Semra , Demirbaş, Sezai , Samadov, Elgun , Öziş, Salih Erpulat , Uslu, Hatim Yahya . "Rectal resection for Schnitzler’s metastasis in a patient presenting with severe rectal stenosis: case report and review of the literature". The European Research Journal 5 / 1 (Ocak 2019): 196-201. http://dx.doi.org/10.18621/eurj.378526