A rare case of intussusception associated with metastasized small cell carcinoma of lung

Acta Med Iran. 2012;50(11):782-4.

Abstract

Intussusception is common cause of bowel obstruction in the paediatric age group compared to the elderly population. Many times, the diagnosis may be difficult because of asymptomatic nature of this bowel disorder. We hereby describe the case of a 75-year-old male who presented with lethargy, weakness, loss of movement in the joints and was found to be anemic. The haemoglobin level was low so he was transfused with packed cells. On gastrointestinal (GI) endoscopy, upper GI bleed was observed. A mass was observed beyond ampulla at the 2nd and 3rd part of the duodenal junction. Computerized tomography (CT) scan also showed a mass at the head of pancreas and the lesion at the left lung. In view of persistent bleed, 'Whipple's procedure' was performed. Histopathological examination showed small cell carcinoma of the lungs with metastasis to the pancreas and the jejunum. We here discuss the case of intussusception with intestinal metastasis which presented with gastrointestinal bleeding.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Small Cell / complications*
  • Carcinoma, Small Cell / diagnostic imaging
  • Carcinoma, Small Cell / secondary
  • Carcinoma, Small Cell / surgery
  • Gastrointestinal Hemorrhage / complications
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery
  • Humans
  • Intussusception / diagnostic imaging
  • Intussusception / etiology*
  • Intussusception / surgery
  • Jejunal Diseases / diagnostic imaging
  • Jejunal Diseases / etiology
  • Jejunal Diseases / surgery
  • Jejunal Neoplasms / complications*
  • Jejunal Neoplasms / diagnostic imaging
  • Jejunal Neoplasms / secondary
  • Jejunal Neoplasms / surgery
  • Lung Neoplasms / complications*
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery
  • Male
  • Neoplasm Staging
  • Pancreatic Neoplasms / complications*
  • Pancreatic Neoplasms / diagnostic imaging
  • Pancreatic Neoplasms / secondary
  • Pancreatic Neoplasms / surgery
  • Pancreaticoduodenectomy / methods
  • Rare Diseases
  • Tomography, X-Ray Computed
  • Treatment Outcome