Uncommon Metastasis of Laryngeal Cancer to Small Bowel Causing Intestinal Obstruction Treated by Laparoscopic Approach

Abstract

Metastatic laryngeal cancer to the small bowel is extremely rare. Management of small bowel obstruction used to constitute a relative contraindication for the use of laparoscopic modality. We are reporting a case of an elderly man known to have laryngeal cancer who presented with small bowel obstruction due to metastatic deposit to the small bowel. The condition was successfully treated by laparoscopic assisted approach. A review of the natural history of advanced laryngeal cancer, common and uncommon sites of metastasis, and the rare presentation as small bowel obstruction is illustrated in this review.

Metastatic Squamous Cell Carcinoma From Primary Hypopharynx Source to Gastric Mucosa Presenting as Massive Gastrointestinal Bleeding

“…Patients with HNSCCs are at increased risk of malnutrition up to 20-57%, because of a multitude of factors that encounter, for instance, increased catabolism, anorexia, dysphagia, odynophagia, and aspiration [3][4][5][6][7]. Poor nutrition has been linked with adverse outcomes in the HNSCC patients' population, hence alternative nutritional support means have understandably been employed to improve life expectancy and overall outcome [3].…”

Metastatic Head and Neck Squamous Cell Carcinoma Masquerading as Crohn's Disease

“…13 Metastases present primarily as obstructions but can also present as ileus, hemorrhage, bowel perforation, melena, and obstructive jaundice. [2][3][4][5][6][7][8][9][10][11]14 The initial evaluation of small bowel metastasis starts with CTs, magnetic resonance imagings, or PET scans. 3 Diagnosis is confirmed by obtaining pathology from upper endoscopy, enteroscopy, or exploratory laparotomy.…”

“…To date, there have been approximately 22 reported cases of head and neck cancers with metastasis to the bowel. [2][3][4][5][6][7][8][9][10][11]…”