Reminder of important clinical lesson
Small bowel obstruction secondary to gastric adenocarcinoma
1 University Hospital of South Manchester, Orthopaedics, Southmoor Road, 2nd Floor, Acute Block, Wythenshawe Hospital, Manchester M23 9LT, UK
2 East Lancashire NHS Trust, Pendle View Medical Centre, Arthur Street, Nelson BB9 5RZ, UK
3 Whiston Hospital, Histopathology, Whiston Hospital, Warrington Road, Prescot L35 5DR, UK
Correspondence to:
Muhammad Naghman Choudhry, mchoudhry_81{at}hotmail.com
A 77-year-old man presented with small bowel obstruction secondary to a solitary metastasis 7 years following resection of gastric carcinoma. At laparotomy, there was no evidence of local recurrence of gastric carcinoma and the liver was also noted to be grossly normal. Further exploration revealed the presence of a small bowel tumour in the ileum causing obstruction. A small bowel resection with side-to-side anastomosis was performed. On microscopy, the appearance of the resected small bowel tumour was consistent with a metastasis from the previously resected gastric carcinoma. The patient made an uneventful recovery following surgery and was later referred for further oncology management.
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