DOI: 10.36347/SASJS.2019.v05i10.003

Pages: 387-390

The digestive linitis plastica is a special form of the little differentiate adenocarcinoma that can reach all the segments of the digestive tube, if the gastric localization is the most frequent, the double gastric and rectal localization is rare (7%) either is simultaneous or successive. The pathologic examination arrives only at the diagnostic of the digestive linitis without biasing against its primitive and secondary character. We report a case of this association in order to focus the importance of search and difficulty of the histologic diagnosis. This is a patient of 50 years, admitted to the emergency department of Hassan II University Hospital of Fez, Morocco for sub occlusion, The abdominal CT showed the presence of colonic and grelic distension, with double localization of gastric and rectal parietal thickening, high and low endoscopy was performed and objectified the appearance of a gastric and rectal linitis, with an anatomopathological examination which confirmed the diagnosis of gastric and rectal plastic linitis , the patient was operated and whose surgical exploration showed the presence of diffuse peritoneal carcinomatosis, palliative chemotherapy was indicated later, and the patient died 1 month later.