Bard's Syndrome: A Rare Case Presentation of Pulmonary Miliary Metastases of Gastric Carcinoma

The Bard's syndrome is a rare desease related to miliary dissemination of gastric cancer the lungs. symptoms primary neoplasm are subclinic despite advanced proliferative process, and metastatic lesions cause many respiratory suggesting pulmonary pathology, which explain difficulties in diagnosis between numerous diseases. We report case 39-year-old man presented for chest pain, progressive worsening dyspnea appeared one month ago, dry cough, apyrexia, fatigue weight loss. CT scan showed disseminated micronodular lesions, thickened interlobular septa mediastinal lymphadenopathy. Flexible bronchoscopy diffuse inflammation on entire bronchial tree. Staged biopsies revealed presence carcinoma, stomach origin. cytologic examination from aspirate reveal neoplasic cells. After re-interviewing patient, he reported history intermittent epigastralgia, so we completed by an oesophageal-gastro-duodenal fibroscopy that confirmed adenocarcinoma bard’s was made with lymphangitic carcinomatosis.