A Case Report about Small Intestinal Metastasis from #EsophagealCarcinoma Combined with Bowel Obstruction by Shinya Shimada in BJSTR
Abstract
It is extremely rare for metastatic tumors derived from extra-abdominal
sites to arise in the small intestine [1, 2]. Herein, we report a
case of the metastasis of esophageal squamous cell carcinoma (SCC) to
the small intestine. A 72-year-old male, who had previously undergone
subtotal esophagectomy for esophageal carcinoma at our hospital, was
admitted with abdominal pain and abdominal distension. Abdominal
computed tomography revealed an increase in the thickness of part of the
small intestinal wall, which had caused mild bowel obstruction. The
patient had no severe symptoms, so we initially administered
conservative therapy (a fast venal transfusion), and his symptoms
temporarily
improved. However, the ileus did not improve so we conducted laparotomy.
A solitary tumor was identified in the ileum, which was determined
to be the cause of the intestinal obstruction, but no other tumors were
seen at intra-abdominal sites. Based on the postoperative pathological
findings, the lesion was diagnosed as a metastatic tumor derived from
esophageal SCC. After surgery, the ileus vanished, and the patient was
discharged without symptoms. We encountered an extremely rare case of
small intestinal metastasis from esophageal carcinoma.
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