Massive intestinal haemorrhage due to a solitary jejunal metastasis of a primary bronchogenic tumour.
A case is presented of a 72-year old male patient presenting with a massive intestinal blood loss due to a solitary jejunal metastasis of a poorly differentiated adenocarcinoma of the right lung resected two years earlier. After diagnostic workup and stabilization a small bowel resection with end to end anastomosis was performed. Patient is alive and well 5 months after operation. Solitary bleeding intestinal metastasis of a primary bronchogenic tumour are extremely rare but should be included in the differential diagnosis of gastrointestinal blood loss in a patient with a known bronchogenic tumour. Resection with end to end anastomosis is the treatment of choice.
Hubens
G
G
Department of Surgery, University Hospital of Antwerp, Belgium.
Van Eerdeweg
W
W
Schoofs
E
E
Fierens
H
H
Colpaert
C
C
Van Marck
E
E
Van Meerbeeck
J
J
D000368:Aged; D002283:Carcinoma, Bronchogenic / Q000473:pathology / Q000556:secondary*; D006801:Humans; D007580:Jejunal Neoplasms / Q000473:pathology / Q000556:secondary*; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008551:Melena / Q000209:etiology*