title: [Jejunal perforation as initial metastatic manifestation of laryngeal carcinoma].
abstract: A case of acute abdominal pain due to jejunal perforation in a patient with dissemination of laryngeal carcinoma is presented. Six jejunal intramural nodes of squamous cell carcinoma, one of them perforated, were observed at laparotomy. At the same time, a lesion suspicious of local recurrence in the tracheostomy orifice was observed. The patient died in the postoperative period. The rarity of intestinal perforation as an initial manifestation of metastatical dissemination of a laryngeal squamous cell carcinoma as well as its poor prognosis are discussed. The hematogenous spread is proposed in our case. Finally the inclusion of metastases in the differential diagnosis in a clinical episode of intestinal perforation in patients with a history of neoplasm is emphasized.
authors.affiliation: Hospital Carmen y Severo Ochoa, Cangas del Narcea, Asturias.
authors.forename: I
authors.initials: I
authors.lastname: Claros González
authors.forename: J L
authors.initials: JL
authors.lastname: Santonja Garriga
authors.forename: S
authors.initials: S
authors.lastname: Rubio Barbón
authors.forename: L
authors.initials: L
authors.lastname: Santamaría Girón
authors.forename: A
authors.initials: A
authors.lastname: Triviño López
authors.forename: A
authors.initials: A
authors.lastname: Velasco Alvarez
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology / Q000556:secondary*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology; D007579:Jejunal Diseases / Q000209:etiology* / Q000473:pathology; D007580:Jejunal Neoplasms / Q000150:complications / Q000473:pathology / Q000556:secondary*; D007822:Laryngeal Neoplasms / Q000473:pathology*; D008297:Male
vernacular_title: Perforación yeyunal como manifestación metastásica inicial de carcinoma laríngeo.