{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:20:20Z","timestamp":1773919220265,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T00:00:00Z","timestamp":1697932800000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gastric adenocarcinoma is a leading cause of mortality worldwide. The most common sites of metastases are the liver, peritoneum, lungs, and bones. Cases have been described in the colon and rectum, but are very rare. This case report describes a patient in remission from diffuse signet ring cell type gastric adenocarcinoma with resection and chemoradiation close to 10\u00a0years prior to presenting with a near-obstructing rectal mass that was consistent with metastatic gastric adenocarcinoma. Gastric cancer spreads via hematogenous, lymphatic, peritoneal seeding, or local recurrence pathways. Given the length of time between initial presentation and eventual metastasis, the theory of dormancy is discussed and proposed as a possible cause in the delay of metastasis to the rectum. This highlights the importance of maintaining a high index of suspicion for recurrence and metastasis in a patient with a history of gastric cancer, who presents with a new obstructing rectal mass.<\/jats:p>","DOI":"10.1093\/jscr\/rjad560","type":"journal-article","created":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T21:25:46Z","timestamp":1698009946000},"source":"Crossref","is-referenced-by-count":2,"title":["Gastric adenocarcinoma metastasis to the rectum causing complete obstruction, a case report"],"prefix":"10.1093","volume":"2023","author":[{"given":"Marine","family":"Bolliet","sequence":"first","affiliation":[{"name":"Department of Surgery, Ascension Providence Hospital-Michigan State University College of Human Medicine , Soutfield Campus, 16001 West Nine Mile Road, Southfield, MI 48075 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Green","sequence":"additional","affiliation":[{"name":"Michigan State University College of Osteopathic Medicine , East Lansing, MI , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Damadi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ascension Providence Hospital-Michigan State University College of Human Medicine , Soutfield Campus, 16001 West Nine Mile Road, Southfield, MI 48075 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,10,21]]},"reference":[{"key":"2023102221253436600_ref1","article-title":"Key statistics about stomach cancer","year":"2022","journal-title":"American Cancer Society"},{"key":"2023102221253436600_ref2","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s00268-002-6279-7","article-title":"Incidence and factors associated with reference patterns after intended curative surgery for gastric cancer","volume":"27","author":"Chew-Wun","year":"2003","journal-title":"World J Surg"},{"key":"2023102221253436600_ref3","doi-asserted-by":"crossref","first-page":"52307","DOI":"10.18632\/oncotarget.10740","article-title":"Metastatic spread in patients with gastric cancer","volume":"7","author":"Riihim\u00e4ki","year":"2016","journal-title":"Oncotarget"},{"key":"2023102221253436600_ref4","volume-title":"Gastric Cancer.","author":"National Comprehensive Cancer Network","year":"2022"},{"key":"2023102221253436600_ref5","doi-asserted-by":"crossref","first-page":"503","DOI":"10.21147\/j.issn.1000-9604.2016.05.05","article-title":"Characteristics of gastric cancer recurrence five or more years after curative gastrectomy","volume":"28","author":"Chang-Hyun","year":"2016","journal-title":"Chin J Cancer Res"},{"key":"2023102221253436600_ref6","first-page":"1479","article-title":"Review of clinical investigation on recurrence of gastric cancer following curative resection","volume":"125","author":"Jing-hui","year":"2012","journal-title":"Chin Med J (Engl)"},{"key":"2023102221253436600_ref7","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1007\/s00268-002-6344-2","article-title":"Different patterns of recurrence in gastric cancer depending on Lauren\u2019s histological type: longitudinal study","volume":"26","author":"Marrelli","year":"2002","journal-title":"World J Surg"},{"key":"2023102221253436600_ref8","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.3892\/ol.2013.1540","article-title":"Gastric cancer with large bowel obstruction as the first presentation: a case report","volume":"6","author":"Yu","year":"2013","journal-title":"Oncol Lett"},{"key":"2023102221253436600_ref9","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1016\/S1607-551X(09)70257-8","article-title":"Metastases from gastric carcinoma to colon in the form of multiple flat elevated lesions: a case report","volume":"20","author":"Hsi-Chang","year":"2004","journal-title":"Kaohsiung J Med Sci"},{"key":"2023102221253436600_ref10","doi-asserted-by":"crossref","first-page":"996411","DOI":"10.3389\/fonc.2022.996411","article-title":"Hematogenous metastasis and tumor dormancy as concepts or dogma? The continuum of vessel co-option and angiotropic extravascular migratory metastasis as an alternative","volume":"12","author":"Lugassy","year":"2022","journal-title":"Front Oncol"},{"key":"2023102221253436600_ref11","doi-asserted-by":"crossref","first-page":"127","DOI":"10.14740\/wjon1375","article-title":"Metastatic gastric cancer to the colon","volume":"12","author":"Then","year":"2021","journal-title":"World J Oncol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/10\/rjad560\/52346167\/rjad560.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/10\/rjad560\/52346167\/rjad560.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T21:25:53Z","timestamp":1698009953000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad560\/7326140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad560","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10]]},"published":{"date-parts":[[2023,10]]},"article-number":"rjad560"}}