A CASE OF INTUSSUSCEPTION DUE TO METASTASIS OF LUNG CANCER

• USHITANI Yoshihide

  Department of Gastroenterogical Surgery, Tamai Hospital

• NAGATE Motoyoshi

  Department of Gastroenterogical Surgery, Tamai Hospital

• USHITANI Hiroko

  Department of Gastroenterogical Surgery, Tamai Hospital

• SESHIMO Akiyoshi

  Department of Second Surgery, Tokyo Women's Medical College

• KOBAYASHI Makio

  Department of Pathology, Tokyo Women's Medical College

Bibliographic Information

Other Title

• 小腸転移による腸重積症状が先行した小細胞性肺癌の1例

Abstract

We experienced a case of small cell cancer of the lung proceded by onset of intussusception due to its metastasis to small intestine.<br> A 70-year-old male was admitted to the hospital because of an abdominal pain and distension. Abdominal X-ray findings showed niveau and dilated small intestine. A chest X-ray film showed an old lung tuberculosis. Ultrasound examination, abdominal CT and contrast X-ray examination suggested the presence of small bowel obstruction. Emergency laparotomy was performed, and enteroenteric intussusception caused by a tumor was found in the ileum 80cm proximal to the terminal ileum. Partial resection of the small intestine was carried out. Histological and immunohistochemical examination of the resected specimen revealed a metastatic small cell carcinoma, intermediate type, probably originated from the lung. Bronchoscopy carried out in 6 months after the operation showed a polypoid lesion at the trachea, and revealed small cell carcinoma confirmed by biopsy specimen, consistent with the histology of the small intestine. He received chemotherapy and radiotherapy. Bilateral pleural effusion and pericardial effusion due to metastasis were observed one year after the operation. He died of cachexia. Metastasis of the small intestine should be considered whenever a patient with lung cancer developes abdominal symptoms. Postoperative prognosis is very poor in the cases of lung cancer with metastasis to the small intestine, but surgical treatment should be undertaken as a first aid.

Journal

• The journal of the Japanese Practical Surgeon Society

  The journal of the Japanese Practical Surgeon Society 57 (7), 1602-1607, 1996

  Japan Surgical Association

Keywords

• 肺癌
• 小腸転移
• 腸重積

Details

• CRID: 1390001205302401280
• NII Article ID: 130003600062
• NII Article ID: 10008522549
• NII Book ID: AN00198696
• DOI: 10.3919/ringe1963.57.1602
• ISSN: 21892075
• ISSN: 03869776
• ISSN: http://id.crossref.org/issn/03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/57/7/57_7_1602/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1997023773
• Data Source:
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  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed