Addome acuto da perforazione di metastasi digiunale di carcinoma polmonare operato

Bonsignore, A. and Licursi, M. and Fiumara, Frank and Leuzzi, S. and Cavallaro, Giuseppe and Angiò, Luigi Giuseppe and Faro, G. (2009) Addome acuto da perforazione di metastasi digiunale di carcinoma polmonare operato. Il giornale di chirurgia, 30 (8/9). p. 2009. ISSN 1971-145X

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Lung cancer metastases of small bowel are rare (1,1%), often with few or not symptoms. This aspecific onset and the difficult physical-instrumental approach to small bowel, led often to diagnosis at autopsy. This is not true for intestinal metastases that cause complications (haemorrhage, obstruction, perforation); in this cases emergency surgery leds to the diagnosis. Case report. We describe a case of a male 56 years old patient with acute abdomen due to perforation (X-ray and CT). He refers, about 6 months before, an upper right lobectomy for lung cancer, followed by adjuvant chemo-radiotherapy, because the presence of brain and bone metastases. During the emergency surgery we found out a perforation of the Treitz tract, treated with intestinal resection and immediate end-to-end anastomosis with manual suture. Histological examination shows the perforation of the intestinal wall tract with lung cancer metastases. Conclusions. Our case shows that any acute abdomen in patient with lung cancer can be considered as expression of intestinal metastases. Negative prognosis of this complication imposes to surgeons only a local treatment

Item Type: Article
Uncontrolled Keywords: Addome acuto, Perforazione digiunale, Metastasi di carcinoma polmonare
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 23 Feb 2016 11:09
Last Modified: 23 Feb 2016 11:09

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