A Rare Case of Intussusception Associated with Metastasize Small Cell Carcinoma of Lung
Abstract
Intussusception is common cause of bowel obstruction in the paediatric age group compared to the elderly population. Many times, The diagnosis may be difficult because of asymptomatic nature of this bowel disorder. We hereby describe the case of a 75-year-old male who presented with lethargy, weakness, loss of movement in the joints and was found to be anemic. The haemoglobin level was low so he was transfused with packed cells. On gastrointestinal (GI) endoscopy, upper GI bleed was observed. A mass was observed beyond ampulla at the 2nd and 3rd part of the duodenal junction. Computerized tomography (CT) scan also showed a mass at the head of pancreas and the lesion at the left lung. In view of persistent bleed, ‘Whipple's procedure' was performed. Histopathological examination showed small cell carcinoma of the lungs with metastasis to the pancreas and the jejunum. We here discuss the case of intussusception with intestinal metastasis which presented with gastrointestinal bleeding.
Bousseaden A, Afifi R, Essamri W, Benelbarhdadi I, Ajana FZ, Benazzouz M, Essaid A. Adult colocolic intussusception diagnosed by ultrasonography: a case report. J Med Case Rep 2011; 5(1):294.
Stubenbord WT, Thorbjarnarson B. Intussusception in adults. Ann Surg 1970; 172(2):306-10.
Weilbaecher D, Bolin JA, Hearn D, Ogden W 2nd. Intussusception in adults. Review of 160 cases. Am J Surg 1971; 121(5):531-5.
Nagorney DM, Sarr MG, McIlrath DC. Surgical management of intussusception in the adult. Ann Surg 1981; 193(2):230-6.
Onkendi EO, Grotz TE, Murray JA, Donohue JH. Adult Intussusception in the Last 25 Years of Modern Imaging: Is Surgery Still Indicated? J Gstrolenterol Surg 2011; 15(10):1699-705.
Shah A, Roberts J, Lipsky H, Twersky Y, Hirth M, Chawla K. Enteroenteric intussusception: an unusual presentation of Crohn's disease in an adult patient. Am J Gastroenterol 1995; 90(12):2231-2.
Draganic B, Williamson M, Stewart P. Colonic intussusception in Crohn's disease. Aust N Z J Surg 1999; 69(9):683-4.
Files | ||
Issue | Vol 50, No 11 (2012) | |
Section | Original Article(s) | |
Keywords | ||
Intestinal metastasis Intussusception Small cell carcinoma |
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