Hamaoka Michinori, Nakagawa Masataka, Nakahara Hideki, Yamamoto Rie, Nishisaka Takashi, Itamoto Toshiyuki
Department of Gastroenterological Surgery, Hiroshima Prefectural Hospital, Hiroshima 734-8530, Japan.
Department of Pathology, Hiroshima Prefectural Hospital, Hiroshima, Japan.
J Surg Case Rep. 2021 Feb 22;2021(2):rjab003. doi: 10.1093/jscr/rjab003. eCollection 2021 Feb.
Malignant pleural mesothelioma (MPM) is an aggressive form of malignant tumor that originates in the pleural mesothelioma and presents as a local disease in the affected hemithorax. Small intestine metastasis is a rare complication. Herein, the case of a patient with jejunal intussusception caused by small intestine metastasis of MPM has been reported. A 72-year-old man with MPM was admitted to our hospital for abdominal pain. Computed tomography revealed small intestine intussusception. An emergency surgery was performed, and the tumor and intussusception were located in the upper jejunum. Histopathological examination of the resected jejunum revealed that the tumor was a small intestinal metastasis of the MPM from the chest wall. This case showed that MPM may metastasize to the small intestine, and metastatic tumors may cause intussusception.
恶性胸膜间皮瘤(MPM)是一种侵袭性恶性肿瘤,起源于胸膜间皮,表现为患侧半胸的局部疾病。小肠转移是一种罕见的并发症。本文报道了一例因MPM小肠转移导致空肠套叠的病例。一名72岁的MPM男性患者因腹痛入住我院。计算机断层扫描显示小肠套叠。进行了急诊手术,肿瘤和套叠位于空肠上段。切除的空肠组织病理学检查显示,肿瘤是MPM从胸壁转移至小肠。该病例表明MPM可能转移至小肠,转移瘤可能导致套叠。