A Case of Intestinal Obstruction by Metastatic Lung Cancer.

DOI 10 Citations 13 References
  • Yamada Shinobu
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital
  • Fujimoto Yasuhisa
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital
  • Takashima Tutomu
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital
  • Kubo Naoshi
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital
  • Arimoto Yuichi
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital
  • Higashino Masayuki
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital
  • Okuno Masahiro
    Department of Surgery & Gastroenterological Surgery, Osaka City General Hospital

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Other Title
  • 腸閉塞をきたした肺癌小腸転移の１例

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Abstract

We report a case of intestinal obstruction by metastatic lung cancer.A 64-year-old man who had under gone therapy for squamous cell carcinoma of the lung and brain metastasis wasadmitted to the hospital complaining of nausea and vomiting.An abdominal X-ray study showed a dilated smallintestine.An abdominal CT scan and small intestine gastrogram examination suggested a massexpanding in the small intestine.Emergency laparotomy was performed, and a solitary tumor about 8cmdiameter was found in the jejunum 60cm distal to the ligament of Treitz.Partial resection of the smallintestine was carried out. Histological examination of the resected specimen revealed a poorly differentiatedsquamous cell carcinoma with features similar to the lung tumor.Attention should be directed to thepossibility of small intestinal metastasis in patients with lung cancer associated with digestive symptoms.

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