Department of General Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia
Department of General Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.
BMJ Case Rep. 2024 Sep 17;17(9):e261080. doi: 10.1136/bcr-2024-261080.
Lung cancer is one of the most lethal solid organ malignancies. Metastasis commonly spreads to the liver, adrenal glands and bone. We report a case of a male patient who presented with an 8 week history of cramping abdominal pain and vomiting. Subsequent investigation revealed evidence of an obstructing small bowel lesion. He underwent a small bowel resection. Histopathology revealed evidence of lung adenocarcinoma as the likely primary disease. Although metastasis of lung adenocarcinoma to the small bowel is rare, early recognition may prevent potentially life-threatening sequelae including bowel perforation and peritonitis.
肺癌是最致命的实体器官恶性肿瘤之一。转移通常会扩散到肝脏、肾上腺和骨骼。我们报告了一例男性患者，他因痉挛性腹痛和呕吐 8 周而就诊。随后的检查显示有阻塞性小肠病变的证据。他接受了小肠切除术。组织病理学显示有肺腺癌的证据，可能是原发性疾病。虽然肺腺癌转移到小肠很少见，但早期识别可能会预防潜在的危及生命的后果，包括肠穿孔和腹膜炎。
