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Case ReportOpen Access

A Case Report about Small Intestinal Metastasis from Esophageal Carcinoma Combined with Bowel Obstruction

Volume 1 - Issue 6

Takeshi Morinaga1, Kei Horino1, Shinya Shimada1*, Keisuke Morita1, Kenichiro Yamamoto1, Satoshi Ikeshima1 and Hideo Baba2

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    • 1Department of Surgery, Kumamoto General Hospital, Japan
    • 2Department of Gastroenterological Surgery, Kumamoto University, Kumamoto, Japan

    *Corresponding author: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, Kumamoto, 10-10 Tohri-cho, Yatsushiro, Kumamoto 866-8660, Japan

Received: November 09, 2017;   Published: November 16, 2017

DOI: 10.26717/BJSTR.2017.01.000536

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Abstract

It is extremely rare for metastatic tumors derived from extra-abdominal sites to arise in the small intestine [1, 2]. Herein, we report a case of the metastasis of esophageal squamous cell carcinoma (SCC) to the small intestine. A 72-year-old male, who had previously undergone subtotal esophagectomy for esophageal carcinoma at our hospital, was admitted with abdominal pain and abdominal distension. Abdominal computed tomography revealed an increase in the thickness of part of the small intestinal wall, which had caused mild bowel obstruction. The patient had no severe symptoms, so we initially administered conservative therapy (a fast venal transfusion), and his symptoms temporarily improved. However, the ileus did not improve so we conducted laparotomy. A solitary tumor was identified in the ileum, which was determined to be the cause of the intestinal obstruction, but no other tumors were seen at intra-abdominal sites. Based on the postoperative pathological findings, the lesion was diagnosed as a metastatic tumor derived from esophageal SCC. After surgery, the ileus vanished, and the patient was discharged without symptoms. We encountered an extremely rare case of small intestinal metastasis from esophageal carcinoma.

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