Adachi Yasuhiro, Katsuki Takefumi, Akiyama Yasuki, Torigoe Takayuki, Hirata Keiji
Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan.
J UOEH. 2020;42(1):83-88. doi: 10.7888/juoeh.42.83.
A 68-year-old male with abdominal pain and vomiting was brought to our hospital by ambulance. Computed tomography showed multiple intussusceptions with pseudokidney signs in the jejunum and ileocecum, and a tumor of 5 cm in diameter in the left lower lobe of the lung. We performed an emergent operation, as a release of multiple intussusceptions was difficult by conservative treatment. There were two intussusceptions, in the jejunum and the ileocecum. We performed a partial resection of the jejunum and a resection of the ileocecum. Histopathological examination of the resected specimens and a biopsy specimen collected by bronchoscopy allowed us to diagnose multiple intussusceptions due to small intestine metastases from a pleomorphic carcinoma of the lung. This case is presented here, with a review of the literature.