A Rare Case of Intussusception Associated with Metastasize Small Cell Carcinoma of Lung

Autor: Razman Jarmin, Azlanuddin Azman, Razrim Rahim, Nik Ritza Kosai, Srijit Das
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Acta Medica Iranica, Vol 50, Iss 11 (2012)
Druh dokumentu: article
ISSN: 0044-6025
1735-9694
Popis: Intussusception is common cause of bowel obstruction in the paediatric age group compared to the elderly population. Many times, The diagnosis may be difficult because of asymptomatic nature of this bowel disorder. We hereby describe the case of a 75-year-old male who presented with lethargy, weakness, loss of movement in the joints and was found to be anemic. The haemoglobin level was low so he was transfused with packed cells. On gastrointestinal (GI) endoscopy, upper GI bleed was observed. A mass was observed beyond ampulla at the 2nd and 3rd part of the duodenal junction. Computerized tomography (CT) scan also showed a mass at the head of pancreas and the lesion at the left lung. In view of persistent bleed, ‘Whipple's procedure' was performed. Histopathological examination showed small cell carcinoma of the lungs with metastasis to the pancreas and the jejunum. We here discuss the case of intussusception with intestinal metastasis which presented with gastrointestinal bleeding.
Databáze: Directory of Open Access Journals