a rare case of intussusception associated with metastasize small cell carcinoma of lung

نویسندگان

razman jarmin department of surgery medicine, faculty of medicine, universiti kebangsaan malaysia medical centre, bandar tun razak, 56000 cheras, kuala lumpur, malaysia.

azlanuddin azman department of surgery medicine, faculty of medicine, universiti kebangsaan malaysia medical centre, bandar tun razak, 56000 cheras, kuala lumpur, malaysia.

razrim rahim department of surgery medicine, faculty of medicine, universiti kebangsaan malaysia medical centre, bandar tun razak, 56000 cheras, kuala lumpur, malaysia.

nik ritza kosai department of surgery medicine, faculty of medicine, universiti kebangsaan malaysia medical centre, bandar tun razak, 56000 cheras, kuala lumpur, malaysia.

چکیده

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.

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عنوان ژورنال:
acta medica iranica

جلد ۵۰، شماره ۱۱، صفحات ۷۸۲-۷۸۴

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