Rare Abdominal Wall Metastasis following CurativeResection of Gastric Cancer: What Can Be Learned from the Use ofPercutaneous Catheters ?

In cancer care, tissue seeding after curative resections is a known potential complication, despite precautions taken during surgicaltreatment. We present an uncommon case of an abdominal wall metastasis along the tract of a surgical drain following gastrectomyfor gastric adenocarcinoma. To our knowledge, this is thefirst case of such an occurrence in the setting of a negative stagingperitoneal lavage. Aside from the rarity of such a recurrence, this instance highlights an opportunity to reevaluate best practiceswith regard to the extent of coverage of postoperative salvage radiotherapy. The oncologic patient provides many challenges andmay require multiple catheters for drainage and at times infusion of nutrition or therapeutic agents. These foreign bodies shouldbe scrutinized both clinically and radiographically, as they may create vulnerabilities in keeping malignant diseases containedand controlled. We provide a review of the literature with reasonable treatment options for the benefit of future patients