TAYFUN YOLDAŞ, Cemil ÇALIŞKAN, Murat SEZAK, Mustafa KORKUT

Akciğer kanserinin nadir bir komplikasyonu: İnce barsak perforasyonu - olgu sunumu

Akciğer kanser metastazına bağlı ince barsak perforasyonu oldukça nadir görülen bir klinik tablodur. Metastaz gastrointestinal traktusun herhangi bir bölümünde görülebilir ve metastatik odak masif kanama, obstrüksiyon, perforasyon gibi komplikasyolara neden olabilir. Bu durumda acil cerrahi girişim ihtiyacı doğmaktadır ve bu malignitesi olan hastalar için yüksek mortalite ve morbidite anlamına gelir. Biz daha öncesinde akciğer kanseri tanısı bulunan ve ince barsak perforasyonu nedeniyle acil laparotomi uygulanan olgumuzu sunmayı amaçladık.

Anahtar Kelimeler:

Akciğer kanseri, akciğer kanser metastazı, ince barsak perforasyonu

A rare complication of lung cancer: Small bowel perforation – case report

Small bowel perforation caused by metastasis from lung cancer is an extremely rare clinical entity. Metastasis may be seen anywhere in the gastrointestinal tract, and this metastatic focus may cause complications such as perforation, obstruction or massive hemorrhage. Emergency surgery is necessary in these conditions, and this means high mortality and morbidity for those patients with malignant disease. We aimed to present a case with previous lung cancer diagnosis who underwent emergency laparotomy due to clinical manifestation of small bowel perforation.

Keywords:

Lung cancer, lung cancer metastasis, small bowel perforation,

PDF

___

Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin 2011; 61: 69-90. Epub 2011 Feb 4.
Garwood RA, Sawyer MD, Ledesma EJ, et al. A case and review of bowel perforation secondary to metastatic lung cancer. Am Surg 2005; 71: 110-6.
McNeill PM, Wagman LD, Neifeld JP. Small bowel metastases from primary carcinoma of the lung. Cancer 1987; 59: 1486-9.
Antler AS, Ough Y, Pitchumoni CS, et al. Gastrointestinal metastases from malignant tumors of the lung. Cancer 1982; 49: 170-2.
Yang CJ, Hwang JJ, Kang WY, et al. Gastro-intestinal metastasis of primary lung carcinoma: Clinical presentations and outcome. Lung Cancer 2006; 54: 319-23.
Buckley JA, Siegelman SS, Jones B, Fishman EK. The accuracy of CT staging of small bowel adenocarcinoma: CT/pathologic correlation. J Comput Assist Tomogr 1997; 21: 986-91.
Bessette JR, Maglinte DD, Kelvin FM, Chernish SM. Primary malignant tumors in the small bowel: a comparison of the smallbowel enema and conventional follow-through examination. Am J Roentgenol 1989; 153: 741-4.
Kanemoto K, Kurishima K, Ishikawa H, et al. Small intestinal metastasis from small cell lung cancer. Intern Med 2006; 45: 967-70.
Berger A, Cellier C, Daniel C, et al. Small bowel metastasis from primary carcinoma of the lung: clinical findings and outcome. Am J Gastroenterol 1999; 94: 1884-7.
Gitt SM, Flint P, Fredell CH, Schmitz GL. Bowel perforation due to metastatic lung cancer. J Surg Oncol 1992; 51: 287-91.
Morgan MW, Sigel B, Wolcott MW. Perforation of metastatic carcinoma of the jejunum after cancer chemotherapy. Surgery 1961; 49: 687-9.
Midell AI, Lochman DJ. An unusual metastatic manifestation of a primary bronchogenic carcinoma. Cancer 1972; 30: 806-9.
Ise N, Kotanagi H, Morii M, et al. Small bowel perforation caused by metastasis from an extra-abdominal malignancy: report of three cases. Surg Today 2001; 31: 358-62.