BMJ Case Reports 2018; doi:10.1136/bcr-2018-225708
  • Images in…

Perforation of small intestine due to metastatic lung carcinoma

  1. Guy Dori
  1. Internal Medicine E, Emek Medical Center, Afula, Israel
  1. Correspondence to Dr Guy Dori, guydo{at}
  • Accepted 30 August 2018
  • Published 11 September 2018


A 66-year-old woman with a history of 40 pack-year cigarette smoking and type II diabetes mellitus presented to the emergency department with unexplained weight loss and cough for a few weeks. These complaints constituted her first clinical manifestation. Physical examination was notable for diffuse abdominal tenderness. Chest and abdominal films (figure 1) revealed a prominent round opaque lesion in the right lung (arrow) and a large amount of free air under diaphragms with air-fluid levels.

Figure 1

Upright chest (left) and abdominal (right) films demonstrating round opaque …

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