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Abdominal Wall Metastasis as the First Clinical Manifestation of Pancreatic Adenocarcinoma: A Case Report

Introduction: Pancreatic cancer has been described in the literature to metastasis to wide verity of organs, but we were unable to find a case reported metastasis to the abdominal wall pre-operatively. Therefore, we present the first case of abdominal wall metastasis as the first clinical presentation in a virgin abdomen to our knowledge.
Case Presentation: A 55 years old gentleman presented to our hospital for evaluation of a para-umbilical mass. The mass was measuring 6 × 4 cm in the right upper side of the umbilicus, hard in consistency with distinct edges, and mildly tender. The histopathology findings of ultrasound guided biopsy of the abdominal wall mass were consistent with metastatic poorly differentiated adenocarcinoma of pancreaticobiliary origin.
Conclusion: Abdominal wall mass could be the presenting symptom of metastatic pancreatic cancer.


Mahmood Masud Al Awfi*, Obaid Al-Hubaishi and Hani Al Qadhi

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