title: Abdominal metastases from lung cancer resulting in small bowel perforation: report of three cases.
abstract: Metastatic lung cancer to the small bowel is a rare occurrence. Acute complications such as perforation, hemorrhage and obstruction are even rarer. We present 3 cases of small bowel perforation from metastatic lung cancer. All 3 patients underwent emergency laparotomy. In 2 of them there was no obvious macroscopic appearance of metastatic disease either at the site of perforation or in any other area of the abdomen, whereas in the third patient there were hepatic metastases. The postoperative period was uneventful in all three cases. The longest survival was four months. Our cases bring the number of cases reported in the international literature to a total of 43.
authors.affiliation: Third Surgical Department, Metaxa Cancer Hospital, Piraeus, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Savanis
authors.forename: George
authors.initials: G
authors.lastname: Simatos
authors.forename: Ioanna
authors.initials: I
authors.lastname: Lekka
authors.forename: Shawki
authors.initials: S
authors.lastname: Ammari
authors.forename: Christophoros
authors.initials: C
authors.lastname: Tsikkinis
authors.forename: Anastasios
authors.initials: A
authors.lastname: Mylonas
authors.forename: Eythymios
authors.initials: E
authors.lastname: Kafasis
authors.forename: Athanasios
authors.initials: A
authors.lastname: Nissiotis
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000556:secondary; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D008113:Liver Neoplasms / Q000150:complications* / Q000556:secondary* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged