INTESTINAL PERFORATION DUE TO METASTASIS FROM LUNG CANCER : A CASE REPORT AND REVIEW OF JAPANESE LITERATURE

• Published in: Kita Kantō igaku (The Kitakanto Medical Journal) Vol. 47; no. 5; pp. 339 - 342
• Main Authors: Muraoka, Masato, Takeyoshi, Izumi, Ohwada, Susumu, Ogawa, Tetsushi, Ohya, Toshihiro, Saito, Akari, Kawashima, Kenji, Iwanami, Kotaro, Okano, Takashi, Morishita, Yasuo
• Format: Journal Article
• Language: English
• Published: The Kitakanto Medical Society 1997
• Subjects: Intestinal perforation; Lung cancer; Metastatic intestinal tumor
• ISSN: 1343-2826; 1881-1191
• DOI: 10.2974/kmj.47.339

Surgical treatment was successfully performed in a 78-year-old male with intestinal perforation due to metastasis from lung cancer. Intestinal perforation due to metastasis from lung cancer is rare and its prognosis is poor. The patient who was taking anti-cancer drugs for lung cancer was admitted to our hospital because of abdominal pain. An abdominal X-ray film showed free air in the subphrenic space. Panperitonitis due to gastrointestinal perforation was diagnosed. On laparotomy, an intestinal tumor with the size of 2.5 × 1.5cm was perforated 30cm apart from the ligament of Treitz. A wedged resection of the lesion was performed. The patient was discharged 3 weeks after the operation, and he has been doing well for 4 months after surgery. We report this case with a review of the Japanese literature on 33 cases.