Savanis George, Simatos George, Lekka Ioanna, Ammari Shawki, Tsikkinis Christophoros, Mylonas Anastasios, Kafasis Eythymios, Nissiotis Athanasios
Third Surgical Department, Metaxa Cancer Hospital, Piraeus, Greece.
Tumori. 2006 Mar-Apr;92(2):185-7.
Metastatic lung cancer to the small bowel is a rare occurrence. Acute complications such as perforation, hemorrhage and obstruction are even rarer. We present 3 cases of small bowel perforation from metastatic lung cancer. All 3 patients underwent emergency laparotomy. In 2 of them there was no obvious macroscopic appearance of metastatic disease either at the site of perforation or in any other area of the abdomen, whereas in the third patient there were hepatic metastases. The postoperative period was uneventful in all three cases. The longest survival was four months. Our cases bring the number of cases reported in the international literature to a total of 43.
小肠转移性肺癌是一种罕见的情况。诸如穿孔、出血和梗阻等急性并发症更为罕见。我们报告3例由转移性肺癌导致的小肠穿孔病例。所有3例患者均接受了急诊剖腹手术。其中2例在穿孔部位或腹部其他任何区域均未发现明显的转移性疾病宏观表现，而第3例患者有肝转移。所有3例患者术后恢复均顺利。最长生存期为4个月。我们的病例使国际文献中报道的病例总数达到43例。
