Yun Il Seon, Lee Jee Young, Lee Jae Sung, Lee Ju Young, Byun Jin Myung, Kim Eun Jung, Park Jin Young, Park Jean Kyung
Department of Internal Medicine, Sunlin Hospital, Pohang, Korea.
Korean J Gastroenterol. 2008 Jun;51(6):377-80.
Intestinal intussusception caused by metastatic tumor is uncommon. Symptomatic small bowel metastases from lung cancer have been rarely reported. Here we report a case of intussusception with gastrointestinal bleeding induced by jejunal metastasis of non-small cell lung cancer with a review of the literature. A 52-year-old man was admitted to our hospital because of melena. He had underwent right pneumonectomy and received systemic chemotherapy with radiotherapy for squamous cell lung cancer. Esophagogastroduodenoscopy and colonoscopy failed to reveal bleeding focus. Abdominal CT scan revealed jejunal intussusception and histologic examination of resected jejunum showed metastatic mass from lung cancer. In patients with small bowel obstruction and history of malignancies, possibility of small bowel metastatic tumor should be considered.
由转移性肿瘤引起的肠套叠并不常见。肺癌引起的有症状小肠转移很少有报道。在此，我们报告一例非小细胞肺癌空肠转移导致肠套叠并伴有胃肠道出血的病例，并对相关文献进行综述。一名52岁男性因黑便入院。他曾接受过右肺切除术，并因鳞状细胞肺癌接受了全身化疗和放疗。食管胃十二指肠镜检查和结肠镜检查均未发现出血病灶。腹部CT扫描显示空肠套叠，切除的空肠组织学检查显示为肺癌转移瘤。对于有小肠梗阻且有恶性肿瘤病史的患者，应考虑小肠转移瘤的可能性。
