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Metastatic lung adenocarcinoma presenting with small bowel obstruction
  1. Joseph Latif,
  2. Zhen Hao Ang,
  3. Merran Holmes and
  4. Shing Wong
  1. Department of General Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia
  1. Correspondence to Dr Joseph Latif; jwlatif{at}gmail.com

Abstract

Lung cancer is one of the most lethal solid organ malignancies. Metastasis commonly spreads to the liver, adrenal glands and bone. We report a case of a male patient who presented with an 8 week history of cramping abdominal pain and vomiting. Subsequent investigation revealed evidence of an obstructing small bowel lesion. He underwent a small bowel resection. Histopathology revealed evidence of lung adenocarcinoma as the likely primary disease. Although metastasis of lung adenocarcinoma to the small bowel is rare, early recognition may prevent potentially life-threatening sequelae including bowel perforation and peritonitis.

  • Colon cancer
  • Lung cancer (oncology)
  • Gastrointestinal surgery
  • General surgery
  • Surgical oncology

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Footnotes

  • Contributors The following authors were responsible for drafting the text, sourcing and editing clinical images, investigating results, drawing original diagrams and algorithms and critically revising important intellectual content: JL, ZHA and MH. The following authors gave final approval of the manuscript: SW and JL: manuscript synthesis, study design; ZHA: manuscript synthesis, project oversight; MH: project oversight; and SW: lead surgeon.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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