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Case Reports
. 2012 Jan 29:10:26.
doi: 10.1186/1477-7819-10-26.

Acute small bowel obstruction: a rare initial presentation for the metastasis of the large-cell carcinoma of the lung

Yongmao Song  1 , Modan Li, Jianzhen Shan, Xiaoxian Ye, Shangyi Tang, Xuefeng Fang, Kefeng Ding, Ying Yuan
Affiliations
Case Reports

Acute small bowel obstruction: a rare initial presentation for the metastasis of the large-cell carcinoma of the lung

Yongmao Song et al. World J Surg Oncol. .

Abstract

We present one case with symptom of paroxysmal abdominal pain for over 20 days. Abdominal computerized tomography (CT) scan revealed intestinal obstruction and a mass of 6.0 cm × 6.0 cm in size located at the left adrenal. Chest CT scan showed a lobulated mass of 2.7 cm × 2.7 cm in size at the upper left lung. Core needle biopsy of the lung mass confirmed the diagnosis of large cell carcinoma. The patient underwent an emergency abdominal laparotomy and received a chemotherapy regimen that consisted of pemetrexed and cisplatin postoperatively. In addition, we made a review of the literature of the occurrence, diagnosis and outcome of this manifestation.

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Figures

Figure 1
Figure 1
The abdominal computerized tomography scan revealed intestinal obstruction (a) and a mass measuring of 6.0 cm × 6.0 cm in size which showed enhancement in intensified tomography near the left adrenal gland (b).
Figure 2
Figure 2
The chest computerized tomography scan showed a 2.7 cm × 2.7 cm lobulated mass at the upper left lung with localized pneumonia changes.
Figure 3
Figure 3
Microscopic images of lung biopsy (a) hematoxylin-eosin staining × 100, showing large, undifferentiated tumor cells with rhabdoid variant; (b) immunoperoxidase × 400 showing CK7 immunoreactivity of cancer cells.
Figure 4
Figure 4
The abdominal computerized tomography scan revealed metastatic tumor mass of jejunum (a and b).
Figure 5
Figure 5
Microscopic images of jejunum resection (a) hematoxylin-eosin staining, × 100 showing groups of large anaplastic tumor cells invading the lamina serosa; (b) immunoperoxidase × 400 showing CK7 cytoplasmic positivity on a jejunum resection tissue.
See this image and copyright information in PMC

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