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Unusual presentation of more common disease/injury
Case report
Metastasis of carcinoma of buccal mucosa to small intestine causing ileal perforation
  1. Swanit Hemant Deshpande1,
  2. Sangeeta Kini2,
  3. Parag Ramesh Nawalkar1 and
  4. Jayashri Sanjay Pandya3
  1. 1General Surgery, BYL Nair Charitable Hospital, Mumbai, India
  2. 2Pathology, BYL Nair Charitable Hospital, Mumbai, India
  3. 3General Surgery, BYL Nair Charitable Hospital, Mumbai, India
  1. Correspondence to Dr Jayashri Sanjay Pandya; smruti63{at}hotmail.com

Abstract

Oral cancers rarely metastasize to the small intestines. In a previously operated case of squamous cell carcinoma of buccal mucosa without any known preoperative distant metastases, we report a case of solitary ileal perforation 3 months after the surgery. The edge of the ileal perforation was positive for squamous cell carcinoma on histopathology. It is important to remember metastases as a cause of acute abdomen in the prior history of oral malignancies.

  • head and neck cancer
  • small intestine cancer
  • gastrointestinal surgery
  • general surgery

https://doi.org/10.1136/bcr-2019-231449

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    Footnotes

    • Contributors SHD: substantial contributions to the conception of the work. Substantial contribution in data collection. Drafted the work primarily. Assisted the laparotomy mentioned in the case report. *Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SK: substantial contributions to the analysis and interpretation of the data. Revised the draft for important intellectual content. *Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. PRN: substantial contributions to collection of data and drafting the work. Was the operating surgeon in the laparotomy mentioned in the case report. Substantial contributions to final analysis of the data. *Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. JSP: substantial contributions in conceptualisation. Final approval of the version published. *Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.