title: Small bowel metastases of lung cancer as unique metastatic lesions: CT, MRI and small bowel enema findings. a case report.
abstract: Small bowel metastases of lung cancer as unique secondary lesions are a very rare occurrence and may be clinically missed due to the aspecificity of the symptoms. Diagnosis is usually made at acute abdominal symptomatology that requires emergency surgical treatment. We report a case of 69-year-old woman, previously treated for epidermoid lung carcinoma, complaining only of aspecific asthenia; blood cell count and chemistry showed a moderate but progressive anemia; no signs of small bowel occlusion were present. The follow-up CT scan showed two large masses at the small bowel level, without any evidence of hepatic, lung, adrenal or brain metastases. MRI and small bowel enema confirmed the presence of the masses, and the diagnosis of small bowel metastases was hypothesized. Surgical specimens of the masses confirmed the radiological suspicion.
authors: Dipartimento di Internistica Clinica e Sperimentale Magrassi-Lanzara, Seconda Università degli Studi, Naples, Italy. scappab@tin.it
authors: Salvatore
authors: S
authors: Cappabianca
authors: Antonio
authors: A
authors: Barberi
authors: Maurizio
authors: M
authors: Gallo
authors: Walter
authors: W
authors: Del Vecchio
authors: Roberto
authors: R
authors: Grassi
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001466:Barium Sulfate; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D004733:Enema / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology*; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D011379:Prognosis; D014057:Tomography, X-Ray Computed
chemical_list: D001466:Barium Sulfate