Multiple bowel intussusceptions from metastatic localized malignant pleural mesothelioma: a case report.
Localized malignant pleural mesothelioma (LMPM) is a rare occurrence, and gastrointestinal intra-luminal metastases have not previously been reported. Herein, we report a patient with LMPM who presented with a local recurrence 10 mo after initial en bloc surgical resection. Abdominal computed tomography was performed for intractable, vague abdominal pain with episodic vomiting, which showed a "target sign" over the left lower quadrant. Laparotomy revealed several intra-luminal metastatic tumors in the small intestine and colon and a segmental resection of metastatic lesions was performed. Unfortunately, the patient died of sepsis despite successful surgical intervention. Though local recurrence is more frequent in LMPM, the possibility of distant metastasis should not be ignored in patients with non-specific abdominal pain.
Liu
Hsien
H
Division of Thoracic Surgery, Department of Surgery, E-DA Hospital/I-Shou University, 1 Yi-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung 824, Taiwan, China.
Cheng
Yu-Jen
YJ
Chen
Hsin-Pao
HP
Hwang
Jau-Chung
JC
Chang
Po-Chih
PC
D015746:Abdominal Pain / Q000209:etiology; D001706:Biopsy; D013505:Digestive System Surgical Procedures; D017809:Fatal Outcome; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008654:Mesothelioma / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology