A Case of Perforation of a Peritoneal Disseminated Tumor of the Small Intestine After Total Gastrectomy for Gastric Cancer

Kaneda, Kunihiko; Miyazaki, Naoyuki; Sugimoto, Takemi; Arahi, Eisen; Shimada, Yasuhide

doi:10.3919/ringe1963.55.1814

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…1 Kaneda et al described another three mechanisms of intestinal perforation, namely, ischemia of the intestine due to embolization of a metastatic tumor, increased intraluminal pressure due to intestinal obstruction, and necrosis of metastatic tumors due to chemotherapy. 18 According to Wada et al, the most common factor attributing to bowel perforation in patients with malignant lymphoma is the use of systemic chemotherapy and steroids which induces tumor necrosis in the intestine. 11 Systemic chemotherapy with steroids had been given to our case 1; however, instead of any intensive necrosis around the perforation site, we found ulceration surrounded by lymphoma cells.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Perforation Caused by Metastasis from an Extra-Abdominal Malignancy: Report of Three Cases

Ise¹,

Kotanagi²,

Morii³

et al. 2001

Surgery Today

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Small bowel perforation is rarely caused by metastasis from an extra-abdominal malignancy. This report describes three cases of small bowel perforation that occurred secondary to a metastatic tumor. The first case involved a 72-year-old man with malignant lymphoma of the larynx that had been treated with chemo- and radiation therapy; the second involved a 70-year-old man with rhabdomyosarcoma of the mediastinum that had been treated with radiation therapy; and the third involved a 41-year-old man with lung carcinoma that had been treated with surgery 10 months prior to perforation. Each patient presented with acute abdominal pain, had X-ray findings of free air in the abdomen, and underwent limited emergency surgery. Wedge resection and closure of the ileum was performed for the first patient and partial bowel resection with the creation of an intestinal stoma was performed for the second and third patients. In each case, the histologic findings of the resected specimens were consistent with the extra-abdominal primary tumors. Although the patients recovered sufficiently to begin eating and moving about, all three died of cancer or cancer-related complications within 45 days of surgery. We conclude that surgeons should be aware of the poor prognosis of such patients and perform only the minimal surgery required.

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Section: Discussionmentioning

confidence: 99%

Small Bowel Perforation Caused by Metastasis from an Extra-Abdominal Malignancy: Report of Three Cases

Ise¹,

Kotanagi²,

Morii³

et al. 2001

Surgery Today

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show abstract

“…3 Kaneda et al described another 3 mechanisms of intestinal perforation, namely, ischemia of the intestine due to embolization of a metastatic tumor, increased intraluminal pressure due to intestinal obstruction, and necrosis of metastatic tumors due to chemotherapy. 4 The center of the tumor in our patient was necrotic (Fig. 3b).…”

Section: Discussionmentioning

confidence: 62%

Perforation of the Small Bowel Due to Metastasis From Tongue Cancer

Aoyagi

Matsuda

Shimada

et al. 2011

International Surgery

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Distant small bowel metastases from head and neck squamous cell carcinomas are extremely rare, and tongue cancer metastasizing to the small bowel has not been previously reported. We describe a 40-year-old male patient who underwent subtotal gross laryngectomy for squamous cell carcinoma of the tongue in February 2007 and then presented in November 2008 with severe abdominal pain. Abdominal computed tomography (CT) and X-rays revealed free air, suggesting intestinal perforation. Emergency surgery revealed a 10-mm perforation at the ileum and a palpable hard tumor at the perforation site. The ileum was resected, and pathologic findings showed squamous cell carcinoma at the perforation site, which was consistent with metastasis from tongue cancer.

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“…Leidich and Rudolf reported that mural replacement by tumour cells occurred after haematogenous or lymphatic metastasis, followed by necrosis 2. Kaneda et al described another three mechanisms of intestinal perforation, namely, ischaemia of the intestine due to embolisation of a metastatic tumour, increased intraluminal pressure due to intestinal obstruction and necrosis of metastatic tumours due to chemotherapy 3…”

Section: Discussionmentioning

confidence: 99%

Metastasis of carcinoma of buccal mucosa to small intestine causing ileal perforation

et al. 2019

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Oral cancers rarely metastasize to the small intestines. In a previously operated case of squamous cell carcinoma of buccal mucosa without any known preoperative distant metastases, we report a case of solitary ileal perforation 3 months after the surgery. The edge of the ileal perforation was positive for squamous cell carcinoma on histopathology. It is important to remember metastases as a cause of acute abdomen in the prior history of oral malignancies.

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A Case of Perforation of a Peritoneal Disseminated Tumor of the Small Intestine After Total Gastrectomy for Gastric Cancer

Cited by 4 publications

References 3 publications

Small Bowel Perforation Caused by Metastasis from an Extra-Abdominal Malignancy: Report of Three Cases

Small Bowel Perforation Caused by Metastasis from an Extra-Abdominal Malignancy: Report of Three Cases

Perforation of the Small Bowel Due to Metastasis From Tongue Cancer

Metastasis of carcinoma of buccal mucosa to small intestine causing ileal perforation

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