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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A CASE REPORT OF LARGE BOWEL OBSTRUCTION: AN UNCOMMON INITIAL PRESENTATION OF LUNG CARCINOMA
Author
Mehmet Kaplan1 and Mustafa Yildirim2
Email
mustafayildirim7@yahoo.com
keyword
Abdominal complication, Acute large bowel obstruction, Squamous cell carcinoma
Abstract
We present an uncommon abdominal complication of lung carcinoma to refresh our knowledge about this topic. Discussion was done from both colorectal surgeons’ and pathologists’ point of view. Case Report - A 78-year-old man was admitted with the symptoms and findings of acute large bowel obstruction. Plain abdominal roentgenogram revealed distended, edematous, and air filled loops of large intestine. Colonoscopic examination confirmed the diagnosis with the finding of the mass that completely obstructed the lumen of the descending colon. The patient underwent an urgent laparotomy. The histopathologic examination of the specimen demonstrated tumor cells with intercellular bridges but no keratinization. Since the tumor was located below the muscularis propria and the surface epithelium was intact, a tumor metastasis to large bowel was suggested. Histopathologic examination of bronchoscopic biopsy showed squamous cell carcinoma. Metastases to gastrointestinal tract from primary carcinoma of the lung are more common than previously thought and obstruction of the large bowel may be the first manifestation of the tumor.
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