Assistant Professor, Department of General Surgery, C U Shah Medical College & Hospital, Surendranagar, Gujarat, India, Corresponding Author.
Assistant, Department of General Surgery, C U Shah Medical College & Hospital, Surendranagar, Gujarat, India.
J Assoc Physicians India. 2024 May;72(5):106-108. doi: 10.59556/japi.72.0477.
A case describes a 49-year-old male patient who underwent emergency exploratory laparotomy for small intestinal perforation. Peritonitis was present due to perforation of the jejunal tumor. Resection of the jejunal tumor with perforation was performed followed by end-to-end anastomosis of the jejunum. The resected jejunal tumor was identified in the histopathological examination as metastatic from a clear cell variant of squamous cell/large cell carcinoma of the lung. It was associated with metastatic lesions in the brain. Metastasis from the lung carcinoma in the jejunum is a very rare condition predisposing to small intestinal perforation which is also associated with brain metastasis.
一位 49 岁男性患者因小肠穿孔行急诊剖腹探查术。由于空肠肿瘤穿孔导致腹膜炎。进行了穿孔空肠肿瘤切除术，并进行了空肠端端吻合术。切除的空肠肿瘤在组织病理学检查中被确定为来自肺的透明细胞变异型鳞状细胞/大细胞癌的转移。它与脑部的转移病灶有关。肺腺癌在空肠中的转移是一种非常罕见的情况，易导致小肠穿孔，且与脑转移有关。
