title: Occult metastatic intestinal adenocarcinoma resulting in pathological fracture of the proximal humerus.
abstract: Intestinal adenocarcinomas are rare but have been described in the literature. The present case is unusual in both its clinical presentation and in the distribution of metastatic lesions. The sequestrum formation and pathological fracture present are most commonly associated with osteomyelitis in horses and the details of the case highlight the need for differential diagnosis in these particular circumstances and of which clinicians should be aware.
authors.affiliation: Department of Clinical Sciences, Center for Veterinary Health Sciences, Oklahoma State University, 1 Farm Road, Stillwater, Oklahoma 74078, USA.
authors.forename: H W
authors.initials: HW
authors.lastname: Jann
authors.forename: M A
authors.initials: MA
authors.lastname: Breshears
authors.forename: R W
authors.initials: RW
authors.lastname: Allison
authors.forename: R D
authors.initials: RD
authors.lastname: Pechman
authors.forename: J
authors.initials: J
authors.lastname: Day
authors.forename: J C A
authors.initials: JC
authors.lastname: Hart
authors.forename: V J
authors.initials: VJ
authors.lastname: Moorman
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000662:veterinary*; D000818:Animals; D005260:Female; D005598:Fractures, Spontaneous / Q000209:etiology / Q000662:veterinary*; D006736:Horses; D006811:Humerus; D007414:Intestinal Neoplasms / Q000150:complications / Q000662:veterinary*