An unusual presentation of metastatic lung cancer

Sujith, Neralakere Suresha; Sima, Rahul; Thimmappa, Anjaneya; Govindaraj, Sridar

doi:10.18203/2349-2902.isj20162781

Cited by 1 publication

(1 citation statement)

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“…The tumor replaces all or part of the bowel wall, resulting in various presentations: Bulky tumors causing lumen obstruction, necrotic tumors that often perforate, ulcerative lesions causing bleeding, or extensive mucosal surface involvement leading to malabsorption (12). McNeill et al (2) showed that when the primary cancer is in the lungs, metastases at the small bowel are more likely to perforate, as the metastatic tumors typically undergo necrosis prior to becoming large enough to cause intestinal obstruction (2).…”

Section: Discussionmentioning

confidence: 99%

Small bowel perforation with multiple intestinal metastases from lung carcinoma: A case report

et al. 2019

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The present report describes the case of an 81-year-old woman who underwent an emergency explorative laparotomy due to small bowel perforation. Diffuse feculent peritonitis due to perforation of the jejunum was identified. In addition, six distinct tumors of the jejunum in close proximity to the perforation site, as well as two more lesions caudally at the ileum, were identified. A separate stenotic tumor was identified at the sigmoid colon, causing moderate dilatation of the whole intestine. An enterectomy, including the perforation site and the proximal six tumors, was performed, followed by limited enterectomies for the distal two tumors and side-to-side anastomoses of the small intestine. All resected tumors were identified at histology as metastatic from lung carcinoma. Postoperatively, the patient remained in a severe septic condition and succumbed the following day. Metastatic lesions from lung carcinoma in the small bowel wall are a rare finding predisposing to bowel perforation. When an acute condition coexists with multiple intestinal metastases, the mortality rate is high despite prompt surgical intervention.

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Section: Discussionmentioning

confidence: 99%