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Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma

Lung adenocarcinoma commonly metastasizes to the lymph nodes, bone, nervous system, liver, respiratory system, and adrenal gland. Metastasis to the small bowel is extremely rare and the literature deals mostly with few published case reports. We present a case of a 70-year-old male with a previous h...

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Detalles Bibliográficos
Autores principales: Sautto, Francesco, Tinsley, Sarah, Neychev, Vladimir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9595031/
https://www.ncbi.nlm.nih.gov/pubmed/36312691
http://dx.doi.org/10.7759/cureus.29551
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author Sautto, Francesco
Tinsley, Sarah
Neychev, Vladimir
author_facet Sautto, Francesco
Tinsley, Sarah
Neychev, Vladimir
author_sort Sautto, Francesco
collection PubMed
description Lung adenocarcinoma commonly metastasizes to the lymph nodes, bone, nervous system, liver, respiratory system, and adrenal gland. Metastasis to the small bowel is extremely rare and the literature deals mostly with few published case reports. We present a case of a 70-year-old male with a previous history of stage IV lung adenocarcinoma with brain and liver metastases treated with radiotherapy and chemotherapy. He presented to the emergency department with peritonitis and sepsis due to bowel perforation. He underwent an emergency exploratory laparotomy and small bowel resection. Surgical pathology revealed metastatic lung adenocarcinoma as the cause of bowel perforation. He tolerated and recovered from surgery well and was discharged on postoperative day 7. On one-month follow-up as an outpatient, he was doing well and had no complications or complaints from his recent surgery.
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spelling pubmed-95950312022-10-28 Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma Sautto, Francesco Tinsley, Sarah Neychev, Vladimir Cureus Pathology Lung adenocarcinoma commonly metastasizes to the lymph nodes, bone, nervous system, liver, respiratory system, and adrenal gland. Metastasis to the small bowel is extremely rare and the literature deals mostly with few published case reports. We present a case of a 70-year-old male with a previous history of stage IV lung adenocarcinoma with brain and liver metastases treated with radiotherapy and chemotherapy. He presented to the emergency department with peritonitis and sepsis due to bowel perforation. He underwent an emergency exploratory laparotomy and small bowel resection. Surgical pathology revealed metastatic lung adenocarcinoma as the cause of bowel perforation. He tolerated and recovered from surgery well and was discharged on postoperative day 7. On one-month follow-up as an outpatient, he was doing well and had no complications or complaints from his recent surgery. Cureus 2022-09-25 /pmc/articles/PMC9595031/ /pubmed/36312691 http://dx.doi.org/10.7759/cureus.29551 Text en Copyright © 2022, Sautto et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pathology
Sautto, Francesco
Tinsley, Sarah
Neychev, Vladimir
Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
title Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
title_full Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
title_fullStr Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
title_full_unstemmed Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
title_short Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
title_sort small bowel perforation due to rare metastasis from stage iv lung adenocarcinoma
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9595031/
https://www.ncbi.nlm.nih.gov/pubmed/36312691
http://dx.doi.org/10.7759/cureus.29551
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