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Chirurgia 2002 December;15(6):185-8

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Small bowel occlusion secondary to metastatic lung carcinoma

Stringhi E., Barzaghi M. E., Giovilli M., Pecis C., Preziosi A., Bellandi P. L., Bortolani E. M.


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A case of small bowel occlusion secondary to metastatic lung carcinoma is described. Currently, bronchogenic carcinoma is the most frequent malignant tumour causing death in the Western world. More specifically, this carcinoma is able to metastasized everywhere; however, there are sites where metastases are very unusual. In the past, the discovery of ileal metastases was practically always post mortem; recently, instead, we are recording an increase of ''repetitions'' in that site possibly due to the progress in anti-neoplastic drugs. In fact, while prolonging the patients' life, they show the evolution in the natural history of the tumour. Our patient was a 65-y-old man suffering from bronchogenic carcinoma, hospitalized for intestinal occlusion. During laparoscopy, we diagnosed multiple small bowel metastasis of epidermoid bronchogenic carcinoma. After jejuno-ileal resection, the patient conditions were regular with a quick functional recovery. He underwent a chemotherapeutic treatment and afterwards other metastases in other sites were found (the patient died during this work drafting). The authors have a double aim: first to underline the frequency of this site of metastases that is becoming more and more frequent; secondly to demonstrate the need for surgical intervention (and its efficacy) also in oncologic patients suffering from multiple metastases.

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