Colonic metastases from small cell carcinoma of the lung presenting with an acute abdomen: A case report

International Journal of Surgery Case Reports
Carlos Eduardo Costa AlmeidaCarlos Manuel Costa Almeida

Abstract

Colonic metastases are rare, and usually secondary from malignant tumours of the stomach, breast, ovarian, cervix, kidney, lung, prostate, or skin. Around one third are asymptomatic or found only at autopsy. A middle-aged male smoker, who had a small cell carcinoma of the lung diagnosed two years previously and treated with radiotherapy and chemotherapy, was admitted to the emergency room with intense abdominal pain and constipation. With the suspicion of an acute appendicitis he was submitted to surgery. At laparotomy he was found to have a normal appendix but two hard colonic lesions: a mobile one in the right colon and the other fixing the sigmoid colon to the sacrum. A right hemicolectomy and a sigmoid loop colostomy were performed. Pathology showed those lesions to be colonic metastases from small cell carcinoma of the lung. Colonic secondaries are most frequently diagnosed in patients who have had a known primary tumour, and may present with bowel obstruction, lower gastrointestinal haemorrhage, gastrointestinal fistula, or intestinal perforation. Presentation with acute abdomen is rare, and survival is usually limited. Colonic metastatic disease should be considered in any patient presenting with an acute abdomen and pas...Continue Reading

References

May 1, 1990·Archives of Surgery·J M Woods, M J Koretz
May 10, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·D Carroll, P B Rajesh
Oct 20, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Thomas E StinchcombeAmir H Khandani
Sep 23, 2008·World Journal of Gastroenterology : WJG·Shoji HirasakiKenichiro Kudo
Mar 29, 2014·BMJ Case Reports·Abdullah Mohammad KhanHadi Bhurgri

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