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. 2012:2012:962683.
doi: 10.1155/2012/962683. Epub 2012 Dec 30.

Small Bowel Intussusception due to Metastasized Sarcomatoid Carcinoma of the Lung: A Rare Cause of Intestinal Obstruction in Adults

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Small Bowel Intussusception due to Metastasized Sarcomatoid Carcinoma of the Lung: A Rare Cause of Intestinal Obstruction in Adults

Ali Guner et al. Case Rep Surg. 2012.

Abstract

Although small bowel intussusception is one of the most common abdominal emergencies in childhood, it is rare in adults and usually occurs as a result of an underlying pathology. Sarcomatoid carcinoma, a very rare subtype of lung cancer, rarely metastasizes to small bowel and causes complications. In this paper, we aim to describe a patient with small bowel intussusception caused by an isolated small bowel metastasis of the sarcomatoid carcinoma of the lung by reviewing the literature.

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Figures

Figure 1
Figure 1
Abdominal CT image of tumors located in the small intestines.
Figure 2
Figure 2
Image of intussuscepted small bowel caused obstructions in two different segments and dilated small bowel loops.
Figure 3
Figure 3
Pictures of histopathological and immunohistochemical results. (a) Epithelioid and fusiform shaped pleomorphic carcinoma infiltration in segments obtained from the lungs (hematoxylin-eosin, 20x magnification). (b) Submucosal neoplastic infiltration of similar morphology in segments obtained from the small intestines (hematoxylin-eosin, 20x magnification). (c) Strong cytoplasmic staining with cytokeratin in segments obtained from the small intestines (40x magnification). (d) Strong cytoplasmic staining with vimentin in segments obtained from the small intestines (40x magnification).

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