THE DIGESTIVE LINITIS PLASTICA ABOUT ONE CASE OF GASTRIC AND RECTAL LOCALIZATION

The digestive linitis plastica is a special form of the little differe ntiate adenocarcinoma that can reach all the segments of the digestive tube, ii the gastric localization is the most frequent, the double ga stric and rectal localization is rare (7%) either is simultaneous or s uccessive. The pathologic examination arrives only at the diagnostic o f the digestive linitis without biasing against its primitive and seco ndary character. We report a case of this association in older to focu s the importance of search and difficulty of the histologic diagnosis. Mis H.N., aged of 69 years old was hospitalized because she was reach ed of subocclusive syndrome, the rectal touch, found a circonferential marrowing with indurated basis at 7 cm of the anal margin, the gastro duodenal transit and the high digestive fibroscopy were evokating of a total plastic linitis. The gastric biopsy confirmed the diagnosis by the presence of cells ou kitten ring. The patients died during the hos pitalization, the pathologic study of the postmortem rectal swab showe d the existence of a rectal linitis. The discovery of a gastric liniti s makes necessary a systematic, endoscopic and radiologic complete phy sical examination in order to discover other digestive localizations, this darkens singularly the prognosis and complicates the therapeutic attitude.