rss
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}clalit.org.il
  • Accepted 30 August 2018
  • Published 11 September 2018

Description 

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 …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article