Intussusception Caused by Multiple Colonic Metastasis of Pleomorphic Carcinoma in the Lung : A Case Report

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  • 腸重積にて発症した肺多形性癌多発大腸転移の1例

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Abstract

An 85-year-old man who had been treated with radiotherapy for brain metastases that occurred after lung cancer surgery, developed abdominal pain and was hospitalized. On admission, a fist-sized mass was palpable in the lower right abdomen. A gastrografin enema and abdominal CT study identified two intussusceptions and ileus in the cecum and transverse colon. The intussusception in the transverse colon was removed using an enema. However, removal of the intussusception in the cecum required emergency surgery. During the operation, multiple neoplastic lesions were noted between the cecum and the transverse colon. An extended right hemicolectomy was performed at two sites to remove the ileus caused by the tumors. Histological examination revealed that the tumors were pleomorphic carcinomas of the lung that had metastasized to the colon.

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